Individual
CARLA PAIGE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4078 MARCAS ST, PINOLE, CA 94564-1026
(510) 367-2034
Mailing address
4078 MARCAS ST, PINOLE, CA 94564-1026
(510) 367-2034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13368
CA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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