Individual
KATIE MICHELLE BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
28212 KELLY JOHNSON PKWY, 200, VALENCIA, CA 91355-5084
(818) 501-8352
Mailing address
17609 VENTURA BLVD, 215, ENCINO, CA 91316-3858
(818) 501-8352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14501
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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