| NPI | 1821069535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA D COBB Office Supervisor/Biller 510-297-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G75352) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CA OT 2258) |
| 225XH1200X Occupational Therapist, Hand (Licence: CA OT 2257) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-07-22 |