Robert Ken OTA
Robert Ken OTA is a Case Manager/Care Coordinator in Stockton, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8660
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 33792 (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1578786554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | January 10, 2024 |
| Certification date | January 10, 2024 |
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