Organization
STOCKTON HAND THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE RENEE CABALLERO-RODRIGUEZ OTR, CHT (PRESIDENT)
(209) 956-8737
Entity
Organization
Contact information
Practice address
1919 GRAND CANAL BLVD, SUITE C4, STOCKTON, CA 95207-8114
(209) 956-8737
(209) 956-2586
Mailing address
1919 GRAND CANAL BLVD, SUITE C4, STOCKTON, CA 95207-8114
(209) 956-8737
(209) 956-2586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2470
CA
332BC3200X
Customized Equipment (DME)
Primary
2470
CA
Other
Enumeration date
05/25/2007
Last updated
06/24/2008
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