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Organization
PINK MOON LACTATION AND OT, LLC
Active
Organization
PINK MOON LACTATION AND OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN GILSON MS, OTR/L, IBCLC (OWNER,OCCUPATIONAL THERAPIST,IBCLC)
(818) 237-3892
Entity
Organization
Contact information
Practice address
12401 HARTSOOK ST, VALLEY VILLAGE, CA 91607-3051
(818) 319-2742
Mailing address
166 GEARY ST., STE 1500 #2152, SAN FRANCISCO, CA 94108
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/07/2025
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