Individual
KELSEY CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CALLE DE LOS AMIGOS, SANTA BARBARA, CA 93105-4435
(805) 883-4000
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4238
CA
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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