Individual
MRS. KIMBERLEE ERICKSON DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-5096
Mailing address
212 6TH ST, SEAL BEACH, CA 90740-6133
(323) 226-5096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3578
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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