Individual
MS. JEAN K KOTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3193
(916) 454-2703
Mailing address
3086 YELLOWSTONE LN, SACRAMENTO, CA 95821-2360
(916) 485-3774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2888
CA
Other
Enumeration date
12/14/2005
Last updated
04/16/2012
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