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Individual
THEODORE W FEHR
Active
Individual
THEODORE W FEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 6216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH719Z
MEDICARE PTAN
CA
Enumeration date
09/28/2006
Last updated
01/10/2019
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