Individual
SCOTT DAGENAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1700 ADAMS AVE, STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
(714) 435-1745
Mailing address
1700 ADAMS AVE, STE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
(714) 435-1745
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT9586
CA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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