Individual
KATHRYN MICHELETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 DUBLIN BLVD, DUBLIN, CA 94568-2835
(925) 829-9555
Mailing address
9801 DUBLIN BLVD, DUBLIN, CA 94568-2835
(925) 829-9555
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12203
CA
Other
Enumeration date
10/14/2014
Last updated
10/15/2014
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