Individual
KRYSTINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3445 PACIFIC COAST HWY STE 310, TORRANCE, CA 90505-6660
(310) 370-1200
Mailing address
500 W BROADWAY APT 527, LONG BEACH, CA 90802-1157
(916) 261-9007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
478403
CA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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