Individual
MRS. CYNTHIA RAE LEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1524 MCHENRY AVE STE 330, MODESTO, CA 95350-4567
(209) 722-4842
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 722-4842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11095
CA
Other
Enumeration date
10/09/2019
Last updated
07/11/2024
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