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Individual

KATHRYN DEBACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.S., LCMT

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
66723
CA
225400000X
Rehabilitation Practitioner
66723
CA
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
66723
CA
225700000X
Massage Therapist
Primary
60873
CA

Other

Enumeration date
12/22/2014
Last updated
04/19/2016
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