Individual
KWASI NKANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2585 E WASHINGTON BLVD, PASADENA, CA 91107-1446
(626) 463-4105
Mailing address
1719 FREMONT AVE, SOUTH PASADENA, CA 91030-4462
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18767
CA
225X00000X
Occupational Therapist
18767
CA
Other
Enumeration date
06/23/2020
Last updated
11/01/2023
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