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Individual

KEVIN ALLEN ELDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
2208 W SUNNYSIDE AVE, VISALIA, CA 93277-7295
(559) 627-3274
Mailing address
35 E SANTA ANA AVE, FRESNO, CA 93704-2926
(559) 627-3274

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7424
CA

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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