Individual
MRS. DONNA BETH EAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 544-2637
(707) 544-2088
Mailing address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 544-2637
(707) 544-2088
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT1222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0012220
BLUE SHIELD
CA
Enumeration date
08/11/2006
Last updated
05/26/2009
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