Individual
MS. KATHLEEN MARY PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 GELLERT BLVD, SUITE 142, DALY CITY, CA 94015-2621
(866) 758-4700
(650) 758-4711
Mailing address
486 MCCALL DR, BENICIA, CA 94510-3925
(707) 297-6108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 8343
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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