Individual
MISS CAITLIN ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
200 E DEL MAR BLVD, #112, PASADENA, CA 91105-2544
(808) 284-5682
Mailing address
4499 VIA MARISOL, APT 240, LOS ANGELES, CA 90042-5147
(808) 284-5682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15685
CA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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