Individual
LEINALYN REDUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1359 PINE ST, SAN FRANCISCO, CA 94109-4807
(415) 673-8405
Mailing address
1778 36TH AVE, SAN FRANCISCO, CA 94122-4115
(619) 888-1271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6175
CA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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