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Individual
MS. MICHELLE H TACKNOFF
Active
Individual
MS. MICHELLE H TACKNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9970
—
CA
Enumeration date
10/18/2011
Last updated
10/18/2011
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