Individual
KARA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC. O.T
Contact information
Practice address
4245 GAMBON CT, DUBLIN, CA 94568-8723
(415) 656-6378
Mailing address
4245 GAMBON CT, DUBLIN, CA 94568-8723
(415) 656-6378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14279
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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