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Individual

MR. CHARLES A MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1200 SPRINGFIELD DR, CHICO, CA 95928-6340
(805) 904-8006
Mailing address
232 THOMAS AVE, OXNARD, CA 93033-5305
(805) 904-8006

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1007
CA

Other

Enumeration date
09/18/2009
Last updated
09/18/2009
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