Individual
KANYARAT KONSUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(818) 633-1230
Mailing address
333 S BEAUDRY AVE FL 17, LOS ANGELES, CA 90017-5105
(818) 633-1230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21629
CA
Other
Enumeration date
04/05/2022
Last updated
02/26/2026
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