Individual
KENNETH DANIEL KAESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7043
Mailing address
1808 2ND AVE, SACRAMENTO, CA 95818-2427
(916) 616-4619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3087
CA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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