Individual
KACIE CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
911 BERN CT, SAN JOSE, CA 95112-1242
(408) 573-7720
Mailing address
529 MALBEC CT, PLEASANTON, CA 94566-6826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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