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Individual

DAMIEN KRISTOPHER MEADOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
14207 E 14TH ST, SAN LEANDRO, CA 94578-2709
(415) 418-8178
Mailing address
3266 WYMAN ST, OAKLAND, CA 94619-3434
(415) 418-8178

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16124
CA

Other

Enumeration date
06/18/2022
Last updated
06/18/2022
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