Individual
KRISTEN STEVENS
Active
Sole proprietor
Yes
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
11840 S LA CIENEGA BLVD, HAWTHORNE, CA 90250-3459
(424) 269-3400
(310) 882-5451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3294
CA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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