VIKAVATDEI LESLIE SISOWATH

LONG BEACH, CA
NPI1588324511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  21504)
Enumeration Date2021-12-17
Last Update Date2021-12-17
Business Address
VIKAVATDEI LESLIE SISOWATH OTR/L
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
Mailing Address
VIKAVATDEI LESLIE SISOWATH OTR/L
8252 SOMERDALE LN
LA PALMA, CA 90623-1938
Phone number: 714-458-1495
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