Individual
KIM CORRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
300 WISCONSIN AVE, LONG BEACH, CA 90814-6749
(562) 336-8823
Mailing address
300 WISCONSIN AVE, LONG BEACH, CA 90814-6749
(562) 336-8823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
993
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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