Healthcare Provider Details

I. General information

NPI: 1457879660
Provider Name (Legal Business Name): HALI KATHERINE CURRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 LOMA AVE
LONG BEACH CA
90804-5252
US

IV. Provider business mailing address

1540 ALCAZAR ST # ST-133
LOS ANGELES CA
90089-0080
US

V. Phone/Fax

Practice location:
  • Phone: 805-801-2421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number21271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: