Individual
GRANT YOSHIO KAKEHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(310) 413-2634
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5288
CA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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