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Individual

MS. KATHRIN ANNE BELANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
16899 W BERNARDO DR, SAN DIEGO, CA 92127-1603
(858) 521-2265
(858) 521-2016
Mailing address
16899 W BERNARDO DR, SAN DIEGO, CA 92127-1603
(858) 521-2265
(858) 521-2016

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10524
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201111050
CERTIFIED HAND THERAPIST
CA
01
PTAN E0519Z
MEDICARE NON-PHYSICIAN PTAN
Enumeration date
03/12/2010
Last updated
05/05/2017
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