| NPI Details | |
|---|---|
| NPI | 1003899410 |
| Gender | Female |
| Enumeration Date | 11/21/2005 |
| Last Updated | 11/29/2011 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 1529 SEABRIGHT AVE SANTA CRUZ CA, 95062-2528, US |
|
| Phone | (831) 458-6230 |
| Fax | |
| Business Location | |
|---|---|
| 2025 SOQUEL AVE CRED SC3 SANTA CRUZ CA, 95062-1323, US |
|
| Phone | (831) 479-6603 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225X00000X |
| License State | California |
| License Number | OT6545 |
| Remove 1003899410 NPI Number | |
According to our database, Deborah Waller OT NPI is 1003899410, taxonomy code is 225X00000X and license number is OT6545, license state is located at California. Deborah Waller OT physically located at 1529 Seabright Ave, Santa Cruz CA, 95062-2528. NPI Number Deborah Waller OT has the Individual type.
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1003899410 NPI number is provided on an as is basis without warranty of any kind. 1003899410 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Waller OT are for informational purposes only.
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