Individual
AINSLEY TOMPKINS SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, CDP
Contact information
Practice address
50 BEALE ST FL 12, SAN FRANCISCO, CA 94105-1813
(415) 516-4489
(415) 516-4389
Mailing address
1954 ROSE LN, PLEASANT HILL, CA 94523-2722
(407) 748-8998
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
68947
CA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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