Healthcare Provider Details

I. General information

NPI: 1801166327
Provider Name (Legal Business Name): HELENA JOHANNA KUIT MS LAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2012
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 MISSION GORGE RD STE 108
SAN DIEGO CA
92120-3425
US

IV. Provider business mailing address

1155 THIRD AVE
CHULA VISTA CA
91911-3136
US

V. Phone/Fax

Practice location:
  • Phone: 619-481-5200
  • Fax:
Mailing address:
  • Phone: 619-498-8260
  • Fax: 619-498-8265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: