Individual
KERRY ALISON CHITWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1333 CANDLEWOOD WAY, STOCKTON, CA 95209-2003
(209) 662-1055
Mailing address
1333 CANDLEWOOD WAY, STOCKTON, CA 95209-2003
(209) 662-1055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1396
CA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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