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Individual

LARISSA GELERIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OTR/L

Contact information

Practice address
3400 MT DIABLO BLVD, SUITE 200, LAFAYETTE, CA 94549-3956
(925) 954-4546
Mailing address
1113 ROXIE LN, WALNUT CREEK, CA 94597-1806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16480
CA

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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