Individual
MARCOS GENERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1801 N OLIVE AVE, TURLOCK, CA 95382
(209) 410-7200
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4346
CA
225X00000X
Occupational Therapist
008688-1
NY
Other
Enumeration date
09/08/2015
Last updated
06/07/2018
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