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Individual

MS. DANIELLE. DESJARDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
632 W 11TH ST STE 119, TRACY, CA 95376-3860
(209) 237-2484
Mailing address
311 RAY ST, PLEASANTON, CA 94566-6621
(925) 470-6948

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10214
CA

Other

Enumeration date
02/25/2021
Last updated
02/25/2021
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