Individual
KAYLA ELIZABETH GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 STEIN PLZ FL 1, LOS ANGELES, CA 90095-1061
(310) 206-9566
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22959
CA
225XL0004X
Low Vision Occupational Therapist
22959
CA
Other
Enumeration date
10/18/2021
Last updated
07/18/2023
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