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Individual
SHAUNNA KOTKA
Active
Individual
SHAUNNA KOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT-LANA
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
CA
225XM0800X
Mental Health Occupational Therapist
28299
CA
225XN1300X
Neurorehabilitation Occupational Therapist
28299
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
28299
CA
Other
Enumeration date
09/30/2024
Last updated
06/23/2026
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