Individual
KENZIE HOSSAM SALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
15375 BARRANCA PKWY STE A103, IRVINE, CA 92618-2203
(949) 590-9350
Mailing address
45 HOLLYHOCK LN, ALISO VIEJO, CA 92656-2952
(949) 294-4454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24175
CA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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