Individual
KAREN LYNN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, SWC
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-7728
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5758
CA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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