Individual
KELLY ANN ARCHER KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
Mailing address
5831 SEAWALK DR UNIT 141, LOS ANGELES, CA 90094-3115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17822
CA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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