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Organization

PACIFIC KIDS OCCUPATIONAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALISA TAYLOR OTR/L (OWNER)
(608) 279-1491
Entity
Organization

Contact information

Practice address
33912 VIOLET LANTERN ST APT B, DANA POINT, CA 92629-5366
(608) 279-1491
Mailing address
PO BOX 276, DANA POINT, CA 92629-0276
(608) 279-1491

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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