Individual
KRISTIN LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
6328 FAIRMOUNT AVENUE, SUITE 220, EL CERRITO, CA 94530-3611
(510) 525-2700
(510) 525-2716
Mailing address
6328 FAIRMOUNT AVENUE, SUITE 220, EL CERRITO, CA 94530-3611
(510) 525-2700
(510) 525-2716
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT907
CA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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