Individual
KAREN LYNN DE CASTRO JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1245 OAK STREET, #1, SAN FRANCISCO, CA 94117
(408) 823-1457
Mailing address
1245 OAK STREET, #1, SAN FRANCISCO, CA 94117
(408) 823-1457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10545
CA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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