Individual
KAYLA OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W 117TH ST, LOS ANGELES, CA 90044-4032
(913) 617-8797
Mailing address
650 W 117TH ST, LOS ANGELES, CA 90044-4032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
CA3828
CA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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