Individual
KAREN KAKAREKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
39950 VISTA DEL SOL, RANCHO MIRAGE, CA 92270-3206
(760) 340-0053
Mailing address
83935 HACIENDA WAY, INDIO, CA 92203-2822
(310) 365-3353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1202
CA
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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