Individual
RICHARD CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
661 W 1ST ST STE E, TUSTIN, CA 92780-2939
(714) 838-2853
(714) 838-4533
Mailing address
661 W 1ST ST STE E, TUSTIN, CA 92780-2939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 2634
CA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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