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Organization

OPEN GROUNDS INC.

Active
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Organization

OPEN GROUNDS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAUNNA KOTKA OTD, OTR/L, CLT-LANA (CEO)
(310) 437-0932
Entity
Organization

Contact information

Practice address
13160 MINDANAO WAY STE 211, MARINA DEL REY, CA 90292-7942
(310) 437-0932
(844) 688-0141
Mailing address
13160 MINDANAO WAY STE 211, MARINA DEL REY, CA 90292-7942
(310) 437-0932
(844) 688-0141

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—

Other

Enumeration date
10/09/2025
Last updated
06/23/2026
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