Individual
HEATHER AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1280 SUMMERFIELD RD, SANTA ROSA, CA 95405-7313
(707) 539-1515
Mailing address
PO BOX 387, OCCIDENTAL, CA 95465-0387
(707) 280-1761
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
20998
CA
225XG0600X
Gerontology Occupational Therapist
Primary
OT20998
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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