Individual
MISS ANTOINETTE ANICETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2361 E 29TH ST, OAKLAND, CA 94606-3511
(510) 343-6154
Mailing address
20408 W ESMERELDA LN, PORTER RANCH, CA 91326-4705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18475
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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