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Individual

MR. GARY A LAND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSOT, OTR/L

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7040
Mailing address
2601 SAN JOSE WAY, SACRAMENTO, CA 95817-2132
(916) 453-1809

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3096
CA

Other

Enumeration date
12/14/2005
Last updated
07/08/2007
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