Unknown Shonduel OTR/L

NPI 1487743753 - Occupational Therapist - 225X00000X

NPI Details
NPI 1487743753
Gender Female
Enumeration Date 10/12/2006
Last Updated 03/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1291 CRAIG AVE
LAKEPORT CA, 95453-5704, US
Phone (707) 263-6382
Fax
Business Location
1301 E BIDWELL ST
#201
FOLSOM CA, 95630-3565, US
Phone (916) 983-5915
Fax
Toxanomy
Taxonomy Code 225X00000X
License State California
License Number 4973
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According to our database, Mrs. Unknown Shonduel OTR/L NPI is 1487743753, taxonomy code is 225X00000X and license number is 4973, license state is located at California. Unknown Shonduel OTR/L physically located at 1291 Craig Ave, Lakeport CA, 95453-5704. NPI Number Unknown Shonduel OTR/L has the Individual type.

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1487743753 NPI number is provided on an as is basis without warranty of any kind. 1487743753 is maintained by the National Plan & Provider Enumeration System. The contents of Unknown Shonduel OTR/L are for informational purposes only.