Individual
KIMBERLY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 S VERMONT AVE, TORRANCE, CA 90502-1029
(310) 323-6887
Mailing address
19401 S VERMONT AVE, TORRANCE, CA 90502-1029
(310) 323-6887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19806
CA
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2016
Last updated
01/23/2020
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