Individual
ALIVIA ELDER-GOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
10437 AMBASSADOR DR, RANCHO CORDOVA, CA 95670
(916) 600-4264
Mailing address
10437 AMBASSADOR DR, RANCHO CORDOVA, CA 95670
(916) 600-4264
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66024
CA
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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