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Individual

MR. BRENT EDISON JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTS

Contact information

Practice address
425 DIVISADERO ST, SUITE 301, SAN FRANCISCO, CA 94117-2242
(415) 551-0975
(415) 551-1763
Mailing address
540 LEAVENWORTH ST, 201, SAN FRANCISCO, CA 94109-7573
(989) 415-0311

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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