Individual
KAYLA NISHIDA KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
(714) 893-7389
Mailing address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
(714) 893-7389
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15743
CA
Other
Enumeration date
08/05/2016
Last updated
03/12/2019
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