Mary Liciaga - Los Angeles, CA

Mary Liciaga

Rehabilitation Practitioner in Los Angeles, California

NPI 1689805921

Mary Liciaga is a Rehabilitation Practitioner based in Los Angeles, CA. Mary Liciaga practices in Los Angeles, CA. The NPI Number for Mary Liciaga is 1689805921 and holds a License No. (California).

The current practice location address for Mary Liciaga is 3609 Hughes Ave, Los Angeles, CA and can be reached out via phone at 310-836-1223.

Location: 3609 Hughes Ave, Los Angeles, CA, 90034-3910

NPI Number

1689805921

Provider Name

Mary Liciaga

Credential

Provider Entity Type

Individual

Gender

Female

Address

3609 Hughes Ave, Los Angeles, CA, 90034-3910

Phone Number

310-836-1223

Fax Number

Provider Enumeration Date

08/04/2009

Last Update Date

03/09/2024

Address

3609 Hughes Ave

City

Los Angeles

State

California

Zip

90034-3910

Phone Number

310-836-1223

Fax Number

Address

3609 Hughes Ave

City

Los Angeles

State

California

Zip

90034-3910

Phone Number

310-836-1223

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Rehabilitation Practitioner

Speciality

Taxonomy

225400000X

License No.

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Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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