MR. Lawrence Alan Bardach, OTR / L

NPI #1205092038 in Grover Beach, California

Provider Information

NPI Number: 1205092038
Entity Type: Individual
Name: MR. Lawrence Alan Bardach, OTR / L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR / L
Enumeration Date: Jul 31, 2008
Last Updated: Jul 31, 2008

Practice Location

Address: 750 FARROLL RD
Address 2: UNIT E
City: Grover Beach
State: California
ZIP Code: 93433-2654
Phone: (805) 481-7529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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