Organization
BLUE DOVE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN F. KAWASAKI-KNIGHT M.A., CCC-SLP (PRESIDENT/DIRECTOR)
(310) 412-2126
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE STE 401, INGLEWOOD, CA 90301-4506
(310) 412-2126
(310) 412-2077
Mailing address
P.O. BOX 34925, LOS ANGELES, CA 90034
(310) 412-2126
(310) 412-2077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP13846
CA
252Y00000X
Early Intervention Provider Agency
SP13846
CA
Other
Enumeration date
09/19/2008
Last updated
09/11/2019
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