Individual
MR. KENNETH S AUSTRIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
301 S FAIR OAKS AVE STE 401, PASADENA, CA 91105-2562
(626) 744-0411
(626) 744-0431
Mailing address
1230 E WASHINGTON ST STE 2, COLTON, CA 92324-6438
(909) 825-6716
(909) 825-4339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7381
CA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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