Individual
SHAUNNA KOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT-LANA
Contact information
Practice address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
(310) 882-0177
Mailing address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
(310) 882-0177
(844) 688-0141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
CA
225XM0800X
Mental Health Occupational Therapist
28299
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
28299
CA
Other
Enumeration date
09/30/2024
Last updated
12/23/2025
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