Individual
GABRIEL LOPEZ NADAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
250 N CITY DR APT 425, SAN MARCOS, CA 92078-4438
(925) 922-2376
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
(209) 572-1461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
18-56053
CA
225X00000X
Occupational Therapist
Primary
23944
CA
Other
Enumeration date
05/23/2018
Last updated
07/26/2022
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