EDANA KISTAMPALLY

ROCHESTER, MI
NPI1912307182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  326444)
Enumeration Date2014-08-25
Last Update Date2021-09-01
Business Address
EDANA KISTAMPALLY OTR/L
790 LETICA DR
ROCHESTER, MI 48307-1581
Phone number: 408-854-2007
Mailing Address
EDANA KISTAMPALLY OTR/L
2900 EAGLE ROCK RD
PENRYN, CA 95663-9623
Phone number: