Healthcare Provider Details

I. General information

NPI: 1386745362
Provider Name (Legal Business Name): FLORENCE KATHLEEN KOTZE OTRIL CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E BIDWELL STREET SUITE 201 BURGER REHABILITATION
FOLSOM CA
95630
US

IV. Provider business mailing address

PO BOX 381
FOLSOM CA
95763
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-5900
  • Fax: 916-983-5913
Mailing address:
  • Phone: 916-761-0629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License NumberOT0004126
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: