Individual
MRS. AUDRA M DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
2230 E 31ST ST, OAKLAND, CA 94602-1528
(415) 309-5039
Mailing address
2230 E 31ST ST, OAKLAND, CA 94602-1528
(415) 309-5039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11781
CA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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