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Individual

DENNIS NECESITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(909) 451-8521
(909) 593-1211
Mailing address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(213) 618-9149

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7360
CA
225XP0200X
Pediatric Occupational Therapist
Primary
7360
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7360
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
07/08/2012
Last updated
04/29/2020
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