Individual
MRS. JUSTINE ALCOCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L SWC
Contact information
Practice address
2031 CREEKSIDE RD, SANTA ROSA, CA 95405-8018
(707) 291-1963
Mailing address
2031 CREEKSIDE RD, SANTA ROSA, CA 95405-8018
(707) 291-1963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 5683
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT 5683
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 5683
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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