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Individual

MS. LAURA JEAN GODEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR

Contact information

Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-8412
(510) 238-9764
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-8412
(510) 238-9764

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2339
CA

Other

Enumeration date
07/02/2007
Last updated
07/08/2007
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