Individual
MR. JOHN DARRYL THOMANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3900 GARFIELD AVE, CARMICHAEL, CA 95608-6647
(916) 481-6455
Mailing address
3651 7TH AVE, SACRAMENTO, CA 95817-3220
(916) 677-9399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1343
CA
Other
Enumeration date
07/23/2013
Last updated
07/25/2013
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