Healthcare Provider Details

I. General information

NPI: 1962046987
Provider Name (Legal Business Name): KATYA MOKFI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2019
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12411 SLAUSON AVE STE H
WHITTIER CA
90606-2835
US

IV. Provider business mailing address

20454 LAKE CANYON DR
WALNUT CA
91789-3524
US

V. Phone/Fax

Practice location:
  • Phone: 562-693-5449
  • Fax:
Mailing address:
  • Phone: 909-859-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number19377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: