TRACEY L AIRTH-EDBLOM

PETALUMA, CA
NPI1053571307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: CA  OT345)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- TRACEY L AIRTH-EDBLOM OTR/L, CHT
226 WELLER ST
PETALUMA, CA 94952-3136
Phone number: 707-762-7678
Mailing Address
-- TRACEY L AIRTH-EDBLOM OTR/L, CHT
8 PACIFIC DR
NOVATO, CA 94949-5479
Phone number: 415-382-8202