Individual
MRS. AUDREY DUBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4633
Mailing address
3038 JAYLEE DR, SANTA ROSA, CA 95404-1618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2597
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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