Individual provider · NPI-1

Kristina Burgos, R.T.C, C.T.R.S.

Recreation Therapist · Los Angeles, CA

NPI number1366619793
StatusActive
Last updated in NPPESMay 14, 2008

Details

NPI
1366619793
Entity type
Individual (NPI-1)
Name
Ms. Kristina Burgos
Credential
R.T.C, C.T.R.S.
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2008
Last updated
May 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist––Yes

Practice location

1200 N State St
Los Angeles, CA 90033-1029

Phone 323-226-6424 · Fax 323-226-5504

Mailing address

1200 N State St
Los Angeles, CA 90033-1029

Phone 323-226-6424 · Fax 323-226-5504

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