Individual
KAITLIN MARI KODANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S OAK AVE, PASADENA, CA 91107-5026
(626) 840-7293
Mailing address
407 S OAK AVE, PASADENA, CA 91107-5026
(626) 840-7293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19342
CA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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