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NPI Code Detail

MEDICARE: KATHRYN CLEARY

MEDICARE: KATHRYN CLEARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4542CA

General Provider Information

NPI Number : 1952544322
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN CLEARY
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LOS OLIVOS
State : CA
Zip : 93441-0936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 636 ATTERDAG RD
Second Line :
City : SOLVANG
State : CA
Zip : 93463-2604
Country : US
Telephone Number : 805-688-3263
Fax Number : 805-686-5898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2009
Last Update Date : 04/14/2009

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Directions to “ KATHRYN CLEARY ” Practice Location

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