NPI | 1508264623 |
---|---|
Former Legal Business Name | OT FOR KIDS, A PROFESSIONAL CORPORATION |
Entity Type | Organization |
Authorized Contact | KIMBERLY GARDENER Owner/Manager 310-344-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12467) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2014-12-06 |
Last Update Date | 2021-02-16 |