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Kathryn Debaca, AS,LCMT
Rehabilitation Practitioner in Stockton, California
NPI 1730577917

Kathryn Debaca is a Rehabilitation Practitioner based in Stockton, CA. Kathryn Debaca practices in Stockton, CA and has the professional credentials of AS,LCMT. The NPI Number for Kathryn Debaca is 1730577917 and holds a License No. 60873 (California).

The current practice location address for Kathryn Debaca is 1424 Morrison Ave, Stockton, CA and can be reached out via phone at 209-430-1461. You can also correspond with Kathryn Debaca through the mailing address at PO BOX 1841, STOCKTON, CA - 95201-1841 (mailing address contact number: 209-430-1461).

Location: 1424 Morrison Ave, Stockton, CA, 95201-1841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730577917
Provider Name
Kathryn Debaca
Credential
AS,LCMT
Provider Entity Type
Individual
Gender
Female
Address
1424 Morrison Ave, Stockton, CA, 95201-1841
Phone Number
209-430-1461
Fax Number
Provider Enumeration Date
12/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1424 Morrison Ave
City
Stockton
State
California
Zip
95205-3538
Phone Number
209-430-1461
Fax Number
person
Provider Business Mailing Address Details
Address
1424 Morrison Ave
City
Stockton
State
California
Zip
95205-3538
Phone Number
209-430-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
66723 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
66723 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
225500000X
License No.
66723 (California)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
60873 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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