Individual
MR. DEXTER MAR-TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2043 19TH AVE, SAN FRANCISCO, CA 94116-1253
(415) 661-8787
(415) 661-6708
Mailing address
2043 19TH AVE, SAN FRANCISCO, CA 94116-1253
(415) 661-8787
(415) 661-6708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9597
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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