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Individual

BARON VANHONSEBROUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT,CHT

Contact information

Practice address
11335A FOLSOM BLVD, RANCHO CORDOVA, CA 95742-6224
(916) 858-0950
(916) 858-0972
Mailing address
11335A FOLSOM BLVD, RANCHO CORDOVA, CA 95742-6224
(916) 858-0950
(916) 858-0972

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT2217
CA

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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