Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL SPAULDING OT (OCCUPATIONAL THERAPIST)
(209) 467-6355
Entity
Organization
Contact information
Practice address
8425 KILTIE WY, STOCKTON, CA 95210
(209) 467-6355
Mailing address
8425 KILTIE WAY, STOCKTON, CA 95210-2342
(209) 467-6355
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2371
CA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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