Individual
KAY KEIKO KITAUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, OT/L
Contact information
Practice address
40203 ANTIGUA ROSE TER, FREMONT, CA 94538-7022
(510) 516-5457
Mailing address
40203 ANTIGUA ROSE TER, FREMONT, CA 94538-7022
(510) 516-5457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
407
CA
Other
Enumeration date
08/14/2008
Last updated
09/15/2021
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