Individual
KILEY SALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2341
Mailing address
1025 VIA ESCONDIDA, NOVATO, CA 94949-5931
(415) 798-4553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13622
CA
Other
Enumeration date
11/01/2013
Last updated
01/11/2022
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