Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2071 | CA |
NPI | 1073781647 |
---|---|
Provider Name | Anna Kitajewski |
First Address | Los Gatos, CA 95032-2400 |
Second Address | Los Gatos, CA 95032-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 15/02/2008 |