Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA HANGER OT (OCCUPATIOANL THERAPIST)
(916) 705-2655
Entity
Organization
Contact information
Practice address
575 E. ALLUVIAL AVENUE, FRESNO, CA 93720
(866) 268-2411
Mailing address
575 E ALLUVIAL AVE, FRESNO, CA 93720-2822
(866) 268-2411
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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