Khema Ablack Krabiel, OTR/L

Individual provider Active NPI Occupational Therapist · View Park, CA

NPI 1164050712 · NPPES record last updated Mar 30, 2020

Key facts

NPI
1164050712
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
9735 (CA)
Practice address
4883 Presidio Dr
View Park, CA 90043-1607
Phone
(714) 271-4899
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9735CAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 9735 CA Yes

Addresses

Primary practice location

4883 Presidio Dr
View Park, CA 90043-1607

Mailing address

4859 W Slauson Ave Unit 552
Los Angeles, CA 90056-1290

Other providers in View Park, CA

All providers in View Park, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.