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1386382141
KATHRYN WISE
SAN JOSE, CA
NPI
1386382141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 23218)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
KATHRYN WISE OTD
6501 CROWN BLVD STE 100A
SAN JOSE, CA 95120-2903
Phone number: 408-601-0993
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Mailing Address
KATHRYN WISE OTD
2016 JONATHAN AVE # 2016
SAN JOSE, CA 95125-2570
Phone number: 408-618-9369
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