Provider Demographics
NPI:1235960121
Name:LOSCHEN, MARIA (OTR/L)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LOSCHEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 W AVENUE J4
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1018
Mailing Address - Country:US
Mailing Address - Phone:608-574-7832
Mailing Address - Fax:
Practice Address - Street 1:44840 VALLEY CENTRAL WAY STE 102
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-7261
Practice Address - Country:US
Practice Address - Phone:661-592-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT23543225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist