Individual
KATHERINE OLMEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
19045 PORTOLA DR STE B, SALINAS, CA 93908-1204
(831) 455-8901
Mailing address
6721 NAOMI AVE, BUENA PARK, CA 90620-1644
(909) 260-4746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21472
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
11/12/2020
Last updated
11/12/2020
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