Individual
MAYA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 QUIGG DR APT 833, SANTA ROSA, CA 95409-5394
(530) 277-0266
Mailing address
4655 QUIGG DR APT 833, SANTA ROSA, CA 95409-5394
(530) 277-0266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2281
CA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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