Individual
MS. CHRISTINE ANN KIEDAISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 725-3999
Mailing address
1233 HAMIDA CT, SAN JOSE, CA 95120-5538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8608
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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