Individual
KARA LYNN NORDERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1766 CALIFORNIA ST, REDDING, CA 96001-1905
(530) 242-1511
(530) 242-1611
Mailing address
1766 CALIFORNIA ST, PO BOX 991173, REDDING, CA 96001-1905
(530) 242-1511
(530) 242-1611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1712
CA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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