Individual
BETHANY KIMI KALANI TOMOKIYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
140 S CHAPARRAL CT STE 150, ANAHEIM, CA 92808-2283
(714) 794-5889
Mailing address
140 S CHAPARRAL CT STE 150, ANAHEIM, CA 92808-2283
(714) 794-5889
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
22280
CA
Other
Enumeration date
04/29/2021
Last updated
12/09/2021
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