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Organization
KIDS MASTER SKILLS LLC
Active
Organization
KIDS MASTER SKILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JOAN MARNELL OTR (OWNER)
(617) 694-6902
Entity
Organization
Contact information
Practice address
32129 LINDERO CANYON RD STE 104, WESTLAKE VILLAGE, CA 91361-5437
(617) 694-6902
Mailing address
32129 LINDERO CANYON RD STE 104, WESTLAKE VILLAGE, CA 91361-5437
(617) 694-6902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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