Individual
CHARLES COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
348 RHEEM BLVD, MORAGA, CA 94556-1516
(925) 376-5995
Mailing address
348 RHEEM BLVD, MORAGA, CA 94556-1516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2171
CA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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