NPI 1003215617

Lkpress-Otr

Organisation Specialist Glendale, CA

Practice location

Address: 1216 N Brand Blvd APT 6, Glendale, CA 91202-1947
Phone: (661) 714-1455

Authorised official

Name: Wendy L Keller
Title: Occupational Therapist
Phone: (661) 714-1455

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10496 (CA)

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 10496 (CA)

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Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

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Registry record

NPI: 1003215617
Entity type: Organization
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.