Individual
MISS KATE LAUREN KEVORKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
450 BROADWAY ST, PAVILION B31, 3RD FLOOR, REDWOOD CITY, CA 94063-3132
(650) 725-5106
Mailing address
267 GARDEN DR, THOUSAND OAKS, CA 91361-5086
(805) 587-4233
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
295246
CA
Other
Enumeration date
09/04/2018
Last updated
12/22/2023
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