Individual
CRISTINA MARISSA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Mailing address
843 LAKEVILLE CIR, PETALUMA, CA 94954-5740
(518) 653-4142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21298
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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