Edana Kistampally, OTR/L

NPI #1912307182 in Rochester, Michigan

Provider Information

NPI Number: 1912307182
Entity Type: Individual
Name: Edana Kistampally, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 25, 2014
Last Updated: Sep 1, 2021

Practice Location

Address: 790 LETICA DR
City: Rochester
State: Michigan
ZIP Code: 48307-1581
Phone: (408) 854-2007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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