Individual
DUSTIN SKYLAR DOUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
400 HOOVER LN, NEVADA CITY, CA 95959-2944
(530) 265-0618
Mailing address
1005 LEWIS CIR, SANTA CRUZ, CA 95062-4350
(530) 575-8818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23931
CA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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