Individual
ABBY FRANCIS PUCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
452 GRAND ST, REDWOOD CITY, CA 94062-2062
(209) 559-4002
Mailing address
1027 15TH AVE UNIT B, REDWOOD CITY, CA 94063-4437
(209) 559-4002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
16159
CA
Other
Enumeration date
09/01/2015
Last updated
01/10/2024
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