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Organization
LIFEWORKS-ACS, INC.
Active
Organization
LIFEWORKS-ACS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENDEL ALIDIO UYCHUTIN OTR/L (PRESIDENT)
(209) 462-1598
Entity
Organization
Contact information
Practice address
1755 W. HAMMER LANE, SUITE# 1, STOCKTON, CA 95209-2900
(209) 462-1598
(209) 942-0294
Mailing address
1755 W. HAMMER LANE, SUITE #1, STOCKTON, CA 95209-2900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2330
CA
225X00000X
Occupational Therapist
4891
CA
235Z00000X
Speech-Language Pathologist
13231
CA
235Z00000X
Speech-Language Pathologist
13292
CA
235Z00000X
Speech-Language Pathologist
16503
CA
235Z00000X
Speech-Language Pathologist
17406
CA
235Z00000X
Speech-Language Pathologist
9927
CA
Other
Enumeration date
10/29/2010
Last updated
10/23/2015
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