Organization
KID'S PATH PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY NAVIDBAKHSH (CEO/FOUNDER)
(310) 824-3594
Entity
Organization
Contact information
Practice address
1444 E FLORENCE AVE, LOS ANGELES, CA 90001-2109
(310) 210-3196
Mailing address
2355 WESTWOOD BLVD # 965, LOS ANGELES, CA 90064-2109
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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