Individual
DR. GERALD ANGELO CABALLERO DEOCARIZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
411 W HAYCRAFT AVE STE D1, COEUR D ALENE, ID 83815-8104
(208) 664-2468
Mailing address
2717 N BOEING RD, SPOKANE, WA 99206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2642
ID
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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