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Individual

MS. MARCI LIN DONDERSHINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2151 PROMONTORY POINT LN, RANCHO CORDOVA, CA 95670-7274
(916) 520-4289
Mailing address
2151 PROMONTORY POINT LN, RANCHO CORDOVA, CA 95670-7274
(916) 520-4289

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
14121
CA
225XP0200X
Pediatric Occupational Therapist
Primary
14121
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14121
BOARD OF OCCUPATIONAL THERAPY
CA
01
310971
NATIONAL BOARD OF CERTIFIED OCCUPATIONAL THERAPISTS
Enumeration date
05/14/2021
Last updated
05/14/2021
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