Individual provider · Type 1 NPI
Jessica Kyomi Avila
Recreation Therapist · Long Beach, CA
NPI number
1609585355
Active
Practice location
Va Long Beach Hcs Attn: Jessica Avila Gec/clc, MAILSTOP:08/118 5901 East 7th Street
Long Beach, CA 90803
Mailing address
14084 Rancho Rd
Westminster, CA 92683-4154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | None listed |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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About NPI 1609585355
Jessica Kyomi Avila's National Provider Identifier is 1609585355, issued on Nov 22, 2022. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Long Beach, CA. The record was last updated on Nov 22, 2022.