Individual
KATIE JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(530) 242-1511
Mailing address
1766 CALIFORNIA ST, REDDING, CA 96001-1905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11839
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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