Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1200X | Hand | OT0004126 | FL |
N | 225XH1200X | Occupational Therapist - Hand | OT814 | CA |
NPI | 1386745362 |
---|---|
Provider Name | Miss Florence Kathleen Kotze |
First Address | Folsom, CA 95763 |
Second Address | Folsom, CA 95630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2007 |