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1780053405
KATHERINE MARIE TIETZ
SAN DIEGO, CA
NPI
1780053405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14188)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- KATHERINE MARIE TIETZ OTR/L
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5833
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Mailing Address
-- KATHERINE MARIE TIETZ OTR/L
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5833
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