Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5924 | CA |
NPI | 1043621345 |
---|---|
Provider Name | Maria Angeli Llamzon |
First Address | Torrance, CA 90501-6432 |
Second Address | Torrance, CA 90501-6432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 08/05/2014 |