Individual
KERRIE JANE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
11105 KNOTT AVE STE A, CYPRESS, CA 90630-5137
(714) 893-7399
Mailing address
468 OGLE ST, COSTA MESA, CA 92627-3244
(949) 378-4794
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12200
CA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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