Individual
KATHRYN MARIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 16TH STREET, SANTA MONICA, CA 90404
(310) 394-1113
(310) 395-3218
Mailing address
5801 VALLEY OAK DR, LOS ANGELES, CA 90068-3650
(323) 464-5209
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
OT711
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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