Individual
MA PILAR FRANCEZKA VIOLANDA DEPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1058 REDWOOD HWY FRONTAGE RD, MILL VALLEY, CA 94941-1621
(703) 801-5672
Mailing address
1000 SANDPOINT DR, RODEO, CA 94572-1933
(661) 478-1676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6214
CA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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