Individual
DOROTHY ENOMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4001 LONE TREE WAY, ANTIOCH, CA 94509-6232
(925) 754-0470
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
11725084
CA
106S00000X
Behavior Technician
—
CA
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/04/2023
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