Organization
PACIFIC KIDS OCCUPATIONAL THERAPY, PC
Active
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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