Individual
MS. LORI KISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17400 MONTEREY RD STE 2E, MORGAN HILL, CA 95037-7319
(408) 778-6200
Mailing address
1580 WILLOWGATE DR, SAN JOSE, CA 95118-1656
(408) 234-3985
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11700
CA
Other
Enumeration date
05/26/2010
Last updated
07/22/2015
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