Individual
KRISTI LYN PASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 SOUTH HAM LANE, LODI, CA 95242
(209) 368-7141
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
379
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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