Individual
KATELYN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 LAWRENCE STATION RD, SUNNYVALE, CA 94089-2220
(408) 743-5332
Mailing address
1290 LAWRENCE STATION RD, SUNNYVALE, CA 94089-2220
(408) 743-5332
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15365
CA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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