Provider Demographics
NPI:1598531030
Name:MUHAMMAD-FLISSINGER, AISHAH RASHIDAH (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:AISHAH
Middle Name:RASHIDAH
Last Name:MUHAMMAD-FLISSINGER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:AISHAH
Other - Middle Name:RASHIDAH
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:4176 CARFAX AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-3101
Mailing Address - Country:US
Mailing Address - Phone:310-245-6657
Mailing Address - Fax:
Practice Address - Street 1:1 ROLLING HILLS PREP WAY
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-5200
Practice Address - Country:US
Practice Address - Phone:310-245-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7281225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics