Individual
THERESA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
2398 PINE ST, SAN FRANCISCO, CA 94115-2715
(510) 517-4233
Mailing address
2398 PINE ST, SAN FRANCISCO, CA 94115-2715
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 12581
CA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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