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Individual
MR. RICHARD CACCAMO
Active
Individual
MR. RICHARD CACCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 747
CA
225XG0600X
Gerontology Occupational Therapist
OT 747
CA
225XM0800X
Mental Health Occupational Therapist
OT 747
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT 747
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT 747
CA
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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