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1184310062
RICHARD THEODORE CICH
ANDERSON, CA
NPI
1184310062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 1652)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
RICHARD THEODORE CICH COTA
1730 DIAMOND ST
ANDERSON, CA 96007-2930
Phone number: 530-722-7140
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Mailing Address
RICHARD THEODORE CICH COTA
1730 DIAMOND ST
ANDERSON, CA 96007-2930
Phone number: 530-215-7676
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