Organization
CAPITAL KIDS OCCUPATIONAL THERAPY
Active
Organization
CAPITAL KIDS OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN STALLINGS MOT, OTR/L (OWNER)
(916) 296-4616
Entity
Organization
Contact information
Practice address
5270 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 296-4616
Mailing address
5716 FOLSOM BLVD, #251, SACRAMENTO, CA 95819-4608
(916) 296-4616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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