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Individual

PRICELDA CID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 MISSION ST, SAN FRANCISCO, CA 94105-4059
(310) 920-9104
Mailing address
490 LAKE PARK AVE UNIT 10583, OAKLAND, CA 94610-8021
(310) 920-9104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020501
NY
225X00000X
Occupational Therapist
16729
CA
225XE0001X
Environmental Modification Occupational Therapist
Primary
16729
CA
225XE1200X
Ergonomics Occupational Therapist

Other

Enumeration date
07/22/2016
Last updated
08/07/2023
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