Individual
KACIE ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22617 S VERMONT AVE, TORRANCE, CA 90502-2550
(310) 320-4130
(310) 212-3232
Mailing address
22617 S VERMONT AVE, TORRANCE, CA 90502-2550
(310) 320-4130
(310) 212-3232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12951
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2011
Last updated
03/29/2013
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