Edana Gentry Kistampally
ActiveCalifornia license 14330
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 14330
- Status
- Active (Current)
- First issued
- May 6, 2014
- Expires
- May 31, 2028
- License holder
- Edana Gentry Kistampally
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
2900 Eagle Rock Road
Penryn, CA 95663
Penryn, CA 95663
Placer County