Organization
GROW FEEDING THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA TANGLIMSAMARNSUK MS, OTR/L,SWC (VICE PRESIDENT; OCCUPATIONAL THERAP)
(661) 383-0606
Entity
Organization
Contact information
Practice address
922 N CROFT AVE, APT 202, WEST HOLLYWOOD, CA 90069
(661) 383-0606
Mailing address
18723 VIA PRINCESSA, UNIT #735, SANTA CLARITA, CA 91387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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