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Organization
ERGOTHERAPY INC
Active
Organization
ERGOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRICELDA CID OTR (OWNER)
(310) 920-9104
Entity
Organization
Contact information
Practice address
650 MISSION ST, SAN FRANCISCO, CA 94105-4059
(310) 920-9104
Mailing address
490 LAKE PARK AVE UNIT 10583, OAKLAND, CA 94610-8021
(310) 920-9104
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
09/30/2022
Last updated
08/25/2023
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