CASEY RIDER

OAKLAND, CA
NPI1235367079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  11221)
Enumeration Date2009-07-01
Last Update Date2022-01-03
Business Address
Mr. CASEY RIDER
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-1000
Mailing Address
Mr. CASEY RIDER
36 ALTA VISTA WAY
SAN RAFAEL, CA 94901-3517
Phone number: 415-465-5765
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