Individual
KAYTIE ROSE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 W COLTON AVE STE 105, REDLANDS, CA 92374-2853
(909) 978-7997
Mailing address
1911 KINGSBURY DR, REDLANDS, CA 92374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14390
CA
Other
Enumeration date
10/06/2017
Last updated
11/02/2017
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