Individual
KRISTA ADAMETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(109) 525-2811
Mailing address
1620 MICHELE WAY, ESCALON, CA 95320-9574
(619) 249-3391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1858
COTA/L
CA
Enumeration date
02/23/2023
Last updated
02/23/2023
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