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Organization

ERGOTHERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRICELDA CID OTR (OWNER)
(310) 920-9104
Entity
Organization

Contact information

Practice address
3345 GRAND AVE STE 1, OAKLAND, CA 94610-2772
(510) 774-2755
Mailing address
3345 GRAND AVE STE 1, OAKLAND, CA 94610-2772
(510) 774-2755
(888) 796-1423

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XE0001X
Environmental Modification Occupational Therapist
225XE1200X
Ergonomics Occupational Therapist
225XH1200X
Hand Occupational Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary
261QR0400X
Rehabilitation Clinic/Center

Other

Enumeration date
08/08/2023
Last updated
05/11/2026
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