Individual
KEVIN CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SHASTA DR, DAVIS, CA 95616-6691
(530) 747-7000
Mailing address
6804 FOX CLIFF WAY, ELK GROVE, CA 95758-4481
(916) 317-6351
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3951
CA
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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