Individual
GAYLENE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., O.T.R./L
Contact information
Practice address
4150 CLEMENT ST, BLDG 203, GB 27, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, BLDG 203, GB 27, SAN FRANCISCO, CA 94121-1545
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12667
CA
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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