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Organization

OPEN GROUNDS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAUNNA KOTKA OTD, OTR/L, CLT-LANA (CEO)
(310) 882-0177
Entity
Organization

Contact information

Practice address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
(310) 882-0177
Mailing address
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277-7036
(310) 882-0177

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
10/09/2025
Last updated
05/11/2026
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