Most Relevant Information
Provider Data
| NPI Number: | 1003475245 |
| Provider Name: | KIMBERLY EASTON OTD OT/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 4523 |
Most Important Dates
| Enumeration Date: | 06/11/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
901 10TH ST APT 310
SANTA MONICA
CA
904032974
Practice Location Phone/Fax
| Phone: | 3106503637 |
| Fax: |
Provider Mailing Location
901 10TH ST APT 310
SANTA MONICA
CA
904032974
Provider Mailing Phone/Fax
| Phone: | 3106503637 |
| Fax: |