Individual
KATHERINE DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
826 N WINCHESTER BLVD, 2G, SAN JOSE, CA 95128-1313
(408) 337-2727
Mailing address
825 LIVE OAK AVE, UNIT A, MENLO PARK, CA 94025-4968
(330) 998-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12542
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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