Provider Demographics
NPI:1316518491
Name:KITTEL, MARIA E (PT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:KITTEL
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:27261 LAS RAMBLAS STE 220
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6468
Mailing Address - Country:US
Mailing Address - Phone:714-966-8650
Mailing Address - Fax:714-293-1143
Practice Address - Street 1:1030 NEVADA ST STE 200
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2958
Practice Address - Country:US
Practice Address - Phone:909-335-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA30074167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician