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Individual

KAREN D PITBLADDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
402 8TH AVE STE 207, SAN FRANCISCO, CA 94118-3057
(415) 831-4263
Mailing address
402 8TH AVE STE 207, SAN FRANCISCO, CA 94118-3057
(415) 831-4263

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT5064
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT5064
LICENSE
CA
Enumeration date
12/22/2009
Last updated
12/22/2009
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