Tamara Theodore, M.A., O.T.R./L

NPI #1992005953 in Lincoln, California

Provider Information

NPI Number
1992005953
Entity Type
Individual
Name
Tamara Theodore, M.A., O.T.R./L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
M.A., O.T.R./L
Enumeration Date
Oct 25, 2010
Last Updated
Oct 25, 2010

Practice Location

Address
1176 TIGER LILY LN
ZIP Code
95648-8122
Phone
(916) 434-7117

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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