Individual
KEVIN CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Mailing address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6620
CA
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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