| |
8192 Crotty Way, Valley Springs, CA 95252-9074 | |
(866) 855-5987 | |
(866) 907-2695 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 8192 Crotty Way, Valley Springs, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831311455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8192 Crotty Way, Valley Springs, CA 95252-9074 Ph: (866) 855-5987 | 8192 Crotty Way, Valley Springs, CA 95252-9074 Ph: (866) 855-5987 |