Organization
KIDS THERAPY OTR INC
Active
Other names
Kids Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA JARIABEK-POURA OTR (PRESIDENT)
(818) 471-3344
Entity
Organization
Contact information
Practice address
20812 VENTURA BLVD STE 230, WOODLAND HILLS, CA 91364-2342
(818) 471-3344
(818) 884-5369
Mailing address
20812 VENTURA BLVD STE 230, WOODLAND HILLS, CA 91364-2342
(818) 471-3344
(818) 884-5369
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT 5767
CA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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