Individual
KAITLYN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4733 CHABOT DR STE 203, PLEASANTON, CA 94588-3972
(800) 403-3352
Mailing address
4733 CHABOT DR STE 203, PLEASANTON, CA 94588-3972
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
85412
CA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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