Individual
DOREEN RODRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 CANAL ST, KING CITY, CA 93930-3431
(831) 385-6835
Mailing address
PO BOX 413, KING CITY, CA 93930-0413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10493
STATE OF CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
—
10493
STATE OF CALIFORNIA LICENSE
—
Enumeration date
04/05/2019
Last updated
04/05/2019
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