Organization
COMPLETE LYMPHEDEMA CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYN ELIZABETH RANKIN-MARTINEZ OT (OWNER/CEO)
(925) 550-3532
Entity
Organization
Contact information
Practice address
11750 DUBLIN BLVD, SUITE 104, DUBLIN, CA 94568-2821
(925) 550-3532
(925) 831-0315
Mailing address
11750 DUBLIN BLVD, SUITE 104, DUBLIN, CA 94568-2821
(925) 550-3532
(925) 831-0315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 6553
CA
261QR0400X
Rehabilitation Clinic/Center
OT 6553
CA
Other
Enumeration date
10/18/2013
Last updated
03/18/2014
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