Whalio Doctors

NPI 1083470736

Kim Takayo Elliott, CTRS

Practitioner Recreation Therapist San Diego, CA

Practice location

Address
3350 La Jolla Village Dr, San Diego, CA 92161-0002
Phone
(619) 920-1807

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 33042 (CA)

Registry record

NPI
1083470736
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Feb 2024
Record last updated
21 Feb 2024

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.