Kim Marie Atwater, OTR
Individual provider Active NPI Occupational Therapist · Carson, CA
NPI 1174724421 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174724421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 8599 (CA)
- Practice address
- 1 Civic Plaza Dr
Suite 625
Carson, CA 90745-2243 - Phone
- (310) 549-4500
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients | |
| Supplemental Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8599 | CA | Yes |
Addresses
Primary practice location
1 Civic Plaza Dr
Suite 625
Carson, CA 90745-2243
Mailing address
2549B Eastbluff Dr
#209
Newport Beach, CA 92660-3504
Phone (949) 241-5896
Other providers in Carson, CA
- Cory Christopher Arth
- Neh Esther Asafor
- Asap Quality Care LLC
- Ryan Christopher Asencio
- Nathan Atthawimol
- Vanessa Aucella
- Auclem Healthcare Services
- Avela Health Services LLC
- Katrina Marie Avery
- Lilibeth Avila
All providers in Carson, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.