Kenyon, Mara

Kenyon, Mara is an individual health care provider with primary practice located at 11840 S La Cienega Blvd , Hawthorne CA 90250-3459. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kenyon, Mara can be contacted via phone (424) 269-3400.

Contact Information

Primary practice address
11840 S La Cienega Blvd Hawthorne CA 90250-3459
Phone: (424) 269-3400
Fax: (310) 882-5451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 13908 California

Profile Details

NPI number 1235683475
LBN Legal business name Kenyon, Mara
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Feb 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235683475 NPPES
Other 13908 OCCUPATIONAL THERAPIST LICENSE, CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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