| Kid Fundamentals Therapy Center, Inc. | |
|
12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843-2027 | |
| (714) 750-9700 | |
| (714) 750-9797 |
| Full Name | Kid Fundamentals Therapy Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 12900b Garden Grove Blvd Ste 235, Garden Grove, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518529635 | NPI | - | NPPES |
| 1770874299 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Fundamentals Therapy Center, Inc. Po Box 1726, Westminster, CA 92684-1726 Ph: (714) 750-9700 | Kid Fundamentals Therapy Center, Inc. 12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843-2027 Ph: (714) 750-9700 |
Katy Schlossberg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843 Phone: 714-750-9700 Fax: 714-750-9797 | |
Melinda Underwood, OTLP Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9618 Garden Grove Blvd, Garden Grove, CA 92844 Phone: 714-530-3115 | |
Ms. Tiffany Lui, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843 Phone: 714-750-9700 Fax: 714-750-9797 | |
Danny Kang, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9828 Garden Grove Blvd, Suite 110, Garden Grove, CA 92844 Phone: 714-591-5853 | |
Christina Shin, OTD, OTR/L, CLT-LANA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12786 Newhope St, Garden Grove, CA 92840 Phone: 949-866-3570 | |
Duy Nguyen, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12662 Kathy Ln, Garden Grove, CA 92840 Phone: 714-204-8402 | |
Kimmy Phan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11911 West St, Garden Grove, CA 92840 Phone: 714-467-9816 |