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NPI 1699831776

NPI 1699831776 : KATHLEEN WOOD APPENRODT OT : WATSONVILLE, CA

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General NPI Number Information
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    NPI Number           |    1699831776
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN WOOD APPENRODT OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/31/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    579 AUTO CENTER DR 
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    City                 |    WATSONVILLE
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    State                |    CA
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    Zip                  |    95076-3727
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    Country              |    US
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    Telephone            |    831-722-9680
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    119 VICTORIA LN 
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    City                 |    APTOS
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    State                |    CA
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    Zip                  |    95003-3025
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    Country              |    US
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    Telephone            |    831-662-8218
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    Fax                  |    831-662-8218
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    5271
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    License Number State |    CA
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