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Individual
MARIE JANET DAMRON
Active
Individual
MARIE JANET DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT538
CA
225XH1200X
Hand Occupational Therapist
9105000422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05291Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
03/26/2007
Last updated
04/23/2009
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