Individual
MR. GARRETT JOHN TEAGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23199
CA
Other
Enumeration date
02/02/2022
Last updated
06/02/2022
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