Individual
KEVIN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
39950 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3206
(760) 340-0053
Mailing address
480 BRADSHAW LN # 6, PALM SPRINGS, CA 92262-7950
(909) 528-6760
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
358503
CA
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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