Individual
KAYLA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11840 S LA CIENEGA BLVD, HAWTHORNE, CA 90250-3459
(424) 269-3400
(310) 882-5451
Mailing address
7055 CHARMANT DR APT 101, SAN DIEGO, CA 92122-4340
(562) 457-7363
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20546
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2018
Last updated
07/06/2022
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