Individual
CHARLOTTE SALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3751 MONTGOMERY DR, SANTA ROSA, CA 95405-5214
(707) 525-1250
Mailing address
1037 GOLF COURSE DR, ROHNERT PARK, CA 94928-1837
(707) 246-2639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17633
CA
Other
Enumeration date
06/21/2019
Last updated
12/30/2021
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