Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT6693 | CA |
NPI | 1154532604 |
---|---|
Provider Name | Linda Demeo |
First Address | Concord, CA 94520-4835 |
Second Address | Concord, CA 94520-4835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 08/07/2007 |