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Individual

KATHLEEN TEPPANG JAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(213) 241-1000
Mailing address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(213) 241-1000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26816
CA

Other

Enumeration date
10/02/2024
Last updated
02/22/2026
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