Individual
KEVIN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19312 SONOMA HWY, STE B SONOMA, SONOMA, CA 95476
(707) 939-8535
Mailing address
19312 SONOMA HWY, STE B SONOMA, SONOMA, CA 95476
(707) 939-8535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8646
CA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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