Individual
CHRISTINE EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 40TH STREET WAY, OAKLAND, CA 94611-5612
(510) 658-2041
Mailing address
200 40TH STREET WAY, OAKLAND, CA 94611-5612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15354
CA
Other
Enumeration date
03/24/2016
Last updated
06/07/2016
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