Individual
AUDRA VITKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 CRESTRIDGE RD, RANCHO PALOS VERDES, CA 90275-4964
(877) 582-0153
Mailing address
4105 VIA SOLANO, PALOS VERDES ESTATES, CA 90274-1131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3500
CA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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