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Organization

CAPABLE KIDS PEDIATRIC THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACY RHEA CRENSHAW OTR/L (OWNER)
(541) 980-5129
Entity
Organization

Contact information

Practice address
9100 AIRDROME ST, LOS ANGELES, CA 90035-4215
(541) 980-5129
Mailing address
9100 AIRDROME ST, LOS ANGELES, CA 90035-4215

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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