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Individual

DAPHNE LYNNE HARTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
301 WHITE OAK DR, SANTA ROSA, CA 95409-5950
(707) 387-0874
Mailing address
384 WILSON LN, WINDSOR, CA 95492-9734
(707) 321-0599

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2107
CA

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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