Individual
RYAN FUKUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5901 GREEN VALLEY CIR STE 130, CULVER CITY, CA 90230-6900
(310) 337-9820
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT20369
CA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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