Individual
ALEXIS SELENE GARDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E TUOLUMNE RD, TURLOCK, CA 95382-1541
(209) 632-7577
Mailing address
505 W EUCLID ST, PITTSBURG, KS 66762-5013
(620) 249-5973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6243
CA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
08/14/2024
Last updated
08/15/2024
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