Deborah Waller OT

NPI 1003899410 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003899410
Gender Female
Enumeration Date 11/21/2005
Last Updated 11/29/2011
Entity Type Individual
Active Over 11 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
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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.