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Individual
MR. CHARLES DOMINICK TRENTACOSTI
Active
Individual
MR. CHARLES DOMINICK TRENTACOSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA, RRT
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
3064
CA
224ZE0001X
Environmental Modification Occupational Therapy Assistant
OP008057
PA
224ZE0001X
Environmental Modification Occupational Therapy Assistant
OTA0000002476
TN
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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