Individual
MRS. CARLA IWATA DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL CHT
Contact information
Practice address
14538 LOLLY LN STE C, SONORA, CA 95370-8447
(209) 533-1600
(209) 533-1611
Mailing address
14538 LOLLY LN STE C, SONORA, CA 95370-8447
(209) 533-1600
(209) 533-1611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT143
CA
225XH1200X
Hand Occupational Therapist
Primary
1031100090
CA
Other
Enumeration date
07/26/2006
Last updated
04/25/2017
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