Kimberly D. Callender, OTR
Individual provider Active NPI Occupational Therapist · Surfside, CA
NPI 1629299409 · NPPES record last updated Mar 21, 2013
Key facts
- NPI
- 1629299409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT6016 (CA)
- Practice address
- 3 B Surfside Ave.
Surfside, CA 90743 - Phone
- (714) 345-9556
- NPI assigned
- May 1, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT6016 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT6016 | CA | Yes |
Addresses
Primary practice location
3 B Surfside Ave.
Surfside, CA 90743
Mailing address
PO Box 503
Surfside, CA 90743-0503
Phone (714) 345-9556
Other providers in Surfside, CA
All providers in Surfside, 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 Mar 21, 2013. 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.