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Individual

DOROTHY J PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
770 MASON ST, VACAVILLE, CA 95688-4646
(707) 454-5800
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1528
CA
225XH1200X
Hand Occupational Therapist
Primary
OT1528
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689606469
PHYSICAL EDGE
CA
01
1770675639
PHYSICAL EDGE
CA
05
CT0015280
CA
Enumeration date
10/13/2006
Last updated
07/24/2015
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