Vikavatdei Leslie Sisowath
ActiveCalifornia license 21504
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 21504
- Status
- Active (Current)
- First issued
- August 17, 2020
- Expires
- May 31, 2027
- License holder
- Vikavatdei Leslie Sisowath
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
8252 Somerdale Ln
La Palma, CA 90623-1938
La Palma, CA 90623-1938