Organization
THERAPY PLACE 4 KIDS
Active
Other names
OT For Kids, A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GARDENER OTD, OTR/L, SWC, CAS (OWNER/MANAGER)
(310) 344-2276
Entity
Organization
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(949) 683-0884
Mailing address
1932 14TH ST, SANTA MONICA, CA 90404-4605
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
12467
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922402965
INDIVIDUAL NPI
CA
Enumeration date
12/06/2014
Last updated
02/16/2021
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