Carol Gavilan

NPI #1912676974 in Antioch, California

Provider Information

NPI Number: 1912676974
Entity Type: Individual
Name: Carol Gavilan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 12, 2021
Last Updated: Sep 12, 2021

Practice Location

Address: 4001 LONE TREE WAY
City: Antioch
State: California
ZIP Code: 94509-6232
Phone: (925) 754-0470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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