Individual
MARY KASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
2999 CLEVELAND AVE, SUITE D, SANTA ROSA, CA 95403-2761
(707) 546-9160
(707) 546-1338
Mailing address
2999 CLEVELAND AVE, SUITE D, SANTA ROSA, CA 95403-2761
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT6236
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT6236
CA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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