Provider Demographics
NPI:1518420751
Name:PERSONAL TOUCH OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:PERSONAL TOUCH OCCUPATIONAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DC
Authorized Official - Last Name:PICKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-306-6064
Mailing Address - Street 1:6820 LA TIJERA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1931
Mailing Address - Country:US
Mailing Address - Phone:323-306-6064
Mailing Address - Fax:
Practice Address - Street 1:6820 LA TIJERA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1931
Practice Address - Country:US
Practice Address - Phone:323-306-6064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty