MR. Edward R Casilag, COTA/L

NPI #1437759800 in Santa Rosa, California

Provider Information

NPI Number: 1437759800
Entity Type: Individual
Name: MR. Edward R Casilag, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant - Feeding, Eating & Swallowing
Credential: COTA/L
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 3751 MONTGOMERY DR
City: Santa Rosa
State: California
ZIP Code: 95405-5214
Phone: (707) 525-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing	224ZF0002X	Primary

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