Individual
KALINA KOTSEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCA, OTR/L
Contact information
Practice address
1335 SAN CARLOS AVE STE A, SAN CARLOS, CA 94070-5604
(650) 592-1819
(650) 592-1819
Mailing address
120 SANTA LUCIA AVE APT 1, SAN BRUNO, CA 94066-5223
(415) 653-2990
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16618
CBOT
CA
Enumeration date
10/16/2017
Last updated
08/05/2020
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