Individual
KATIE WILLEBRANDS
Active
Individual
KATIE WILLEBRANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
24616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020821041
KAISER PERMANENTE
CA
Enumeration date
01/08/2018
Last updated
03/29/2023
Update your record
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