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Individual

DEBORAH L. KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
561 CAPITOL DR, BENICIA, CA 94510-1309
(707) 748-1435
(707) 748-1435
Mailing address
561 CAPITOL DR, BENICIA, CA 94510-1309
(707) 748-1435
(707) 748-1435

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2367
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02032010725407
NPPES
CA
Enumeration date
02/03/2010
Last updated
12/11/2013
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