Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annie Grace Kim, MS, OTR/L

Individual provider Occupational Therapist · NPI 1336491836

Annie Grace Kim, MS, OTR/L is an Occupational Therapist in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

12121 Shadow Ridge Way
Northridge, CA 91326-3826
Phone: (818) 606-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 12932 (CA)

Record details

NPI number1336491836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedOctober 8, 2012
Last updated in NPPESOctober 8, 2012

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