Individual
KATHLYN DOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10780 SANTA MONICA BLVD STE 405, LOS ANGELES, CA 90025-7655
(310) 234-0300
Mailing address
4610 WESTDALE AVE, LOS ANGELES, CA 90041-3027
(310) 234-0300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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