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Individual

CAITLIN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4900 WINDPLAY DR, EL DORADO HILLS, CA 95762-9653
(916) 422-0571
Mailing address
151 N SUNRISE AVE STE 1105, ROSEVILLE, CA 95661-2931
(916) 771-8255

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-49456
CA
225XP0200X
Pediatric Occupational Therapist
Primary
24386
CA

Other

Enumeration date
02/12/2018
Last updated
03/02/2023
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