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Jonathan Loo

Recreation Therapist in Downey, CA. Individual provider (NPI-1).

NPI number1104469337
StatusActive
Last updated in NPPESOct 21, 2019

Details

NPI
1104469337
Entity type
Individual (NPI-1)
Name
Jonathan Loo
Sex
Male
Sole proprietor
No
Enumeration date
Oct 21, 2019
Last updated
Oct 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist81242CAYes
225800000X Recreation Therapist5663-TCA

Practice location

7601 Imperial Hwy
Downey, CA 90242-3456

Phone 562-385-6398

Mailing address

7601 Imperial Hwy
Downey, CA 90242-3456

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