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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
355 SCOTTSDALE RD, PLEASANT HILL, CA 94523-5117
(415) 652-0182
Mailing address
355 SCOTTSDALE RD, PLEASANT HILL, CA 94523-5117
(415) 652-0182

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
OT14617
CA

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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