Individual
CARISSA RECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CAMINO ALTO, MILL VALLEY, CA 94941-2956
(415) 383-1600
Mailing address
22995 MILL CREEK DR STE A, LAGUNA HILLS, CA 92653-1271
(949) 707-5555
(888) 253-8070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12298
CA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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