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NPI Code Detail

MEDICARE: MRS. KATHLEEN WILLMAN

MEDICARE: MRS. KATHLEEN WILLMAN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1972904514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN WILLMAN
Provider Business Mailing Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 408-726-8597
Fax Number : 408-550-7433
Provider Business Practice Location Address
First Line : 425 E SANTA CLARA ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95113-1936
Country : US
Telephone Number : 408-726-8597
Fax Number : 408-550-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2014
Last Update Date : 06/30/2025

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Directions to “ MRS. KATHLEEN WILLMAN ” Practice Location

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