Individual
KATHERINE EDNA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2711 KENNEY DR, SAN PABLO, CA 94806-1515
(510) 439-8048
Mailing address
2711 KENNEY DR, SAN PABLO, CA 94806-1515
(510) 439-8048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OT 8916
CA
Other
Enumeration date
07/17/2008
Last updated
09/18/2015
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