Organization
CONSONUS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE ROBINSON ASSOCIATES DEGREE (CERTIFIED OCCUPATIONAL THERAPIST)
(707) 228-3085
Entity
Organization
Contact information
Practice address
684 BENICIA DR, SANTA ROSA, CA 95409-3058
(707) 538-0152
Mailing address
2053 COOPER DR, SANTA ROSA, CA 95404-5683
(707) 228-3085
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
OTA1007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA 1007
CA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
10/08/2015
Last updated
10/08/2015
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