Individual
MRS. ANN ELIZABETH KINNISCHTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
3580 JULIAN AVE, LONG BEACH, CA 90808-3110
(562) 787-8558
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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