Individual
MRS. JOAN FURUSHO GARDENHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 645-2720
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 645-2720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
983
CA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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