Individual
KEVIN THOMAS NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
13374 GOLDEN VALLEY LN, GRANADA HILLS, CA 91344-1118
(818) 268-4330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19307
CA
Other
Enumeration date
06/10/2020
Last updated
07/02/2024
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