Individual
KATHRYN DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9610 GRANITE RIDGE DR STE C, SAN DIEGO, CA 92123-2684
(858) 505-5400
Mailing address
7575 LINDA VISTA RD APT 70, SAN DIEGO, CA 92111-5329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18104
CA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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