Individual
KATELYN CHILCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 FRUITVALE AVE, SARATOGA, CA 95070-6165
(408) 741-7100
Mailing address
162 VALLEY ST, ROCKHILL FURNACE, PA 17249-7077
(814) 251-4160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2629
CA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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