Organization
LOTUS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PAIGE VAUGHAN OTR/L (OWNER)
(323) 254-7113
Entity
Organization
Contact information
Practice address
3400 FLETCHER DR, UNIT A, LOS ANGELES, CA 90065-2916
(323) 254-7113
(323) 255-9140
Mailing address
3400 FLETCHER DR, UNIT A, LOS ANGELES, CA 90065-2916
(323) 254-7113
(323) 255-9140
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6991
CA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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