Individual
KENNETH KRITBOONYALAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 WILSHIRE BLVD, LOS ANGELES, CA 90010-2354
(213) 389-3353
Mailing address
3545 WILSHIRE BLVD, LOS ANGELES, CA 90010-2354
(213) 389-3334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2825
CA
Other
Enumeration date
12/07/2015
Last updated
06/17/2016
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