Individual
KIANA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
18050 VANOWEN ST, RESEDA, CA 91335-5638
(818) 888-4559
Mailing address
18050 VANOWEN ST, RESEDA, CA 91335-5638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21788
CA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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