Individual
MS. KATHLEEN ANN SALVATORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 GOLDEN SHR STE 250, LONG BEACH, CA 90802-4270
(562) 256-7550
Mailing address
330 GOLDEN SHR STE 250, LONG BEACH, CA 90802-4270
(562) 256-7550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161OTA
COTA LICENSE NUMBER
CA
Enumeration date
11/08/2017
Last updated
06/16/2018
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