Individual
DESIREE EICHSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FOUNTAINGROVE PKWY, SANTA ROSA, CA 95403-5720
(707) 566-8600
Mailing address
7532 13TH HOLE DR, WINDSOR, CA 95492-8701
(216) 780-3276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15451
CA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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