Individual
KAYTLYN ELLIDA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, ROLFER
Contact information
Practice address
5545 CLAREMONT AVE, OAKLAND, CA 94618-1116
(510) 717-8649
Mailing address
1717 BERKELEY WAY, BERKELEY, CA 94703-1505
(510) 717-8649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17671
CA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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