Individual
ANNE ELIZABETH IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5261 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 725-0162
Mailing address
1510 WARD ST, BERKELEY, CA 94703-1826
(510) 725-0162
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1590
CA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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