Individual
KATHLEEN WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23361 MADERO, SUITE 200, MISSION VIEJO, CA 92691-2715
(949) 581-8239
(949) 859-0849
Mailing address
26412 NACCOME DR, MISSION VIEJO, CA 92691-4948
(949) 581-8239
(949) 859-0849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1636
CA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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