Healthcare Provider Details

I. General information

NPI: 1518420751
Provider Name (Legal Business Name): PERSONAL TOUCH OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 LA TIJERA BLVD STE 208
LOS ANGELES CA
90045-1931
US

IV. Provider business mailing address

6820 LA TIJERA BLVD STE 208
LOS ANGELES CA
90045-1931
US

V. Phone/Fax

Practice location:
  • Phone: 323-306-6064
  • Fax:
Mailing address:
  • Phone: 323-306-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARON DC PICKFORD
Title or Position: OWNER
Credential:
Phone: 323-306-6064