Individual
DOMENIQUE CAROL HENDERSHOT EMBREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD M.S.O.T.R. L
Contact information
Practice address
2021 FILLMORE ST # 1367, SAN FRANCISCO, CA 94115-2708
(415) 236-2178
Mailing address
484 HILLVIEW DR, FREMONT, CA 94536-2821
(510) 794-5990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3300
CA
Other
Enumeration date
12/21/2006
Last updated
10/09/2023
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