Individual
KATIE DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(971) 206-5200
Mailing address
3996 SOLOMON AVE, NAPA, CA 94558-2365
(707) 334-4152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2794
CA
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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