Individual
GINA PODESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 S HAM LN, LODI, CA 95242-3903
(209) 334-3825
Mailing address
7921 N PODESTA LN, LINDEN, CA 95236-9423
(209) 608-7669
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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