Individual
KELLY TRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
3701 BROADWAY, OAKLAND, CA 94611-5613
(510) 752-6179
Mailing address
405 RANCHO ARROYO PKWY APT 170, FREMONT, CA 94536-2732
(303) 895-0591
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/29/2021
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