Individual
MARY LOUISE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L CHT
Contact information
Practice address
1004 FOWLER WAY, SUITE 9, PLACERVILLE, CA 95667
(530) 676-8004
(530) 626-6551
Mailing address
3260 CHASEN DR, CAMERON PARK, CA 95682
(530) 676-8004
(530) 626-6551
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT4211
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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