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Page Kennedy Bettencourt, OTR/L

Occupational Therapist, Pediatrics in San Rafael, CA. Individual provider (NPI-1).

NPI number1003663626
StatusActive
Last updated in NPPESMay 1, 2024

Details

NPI
1003663626
Entity type
Individual (NPI-1)
Name
Page Kennedy Bettencourt
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
May 1, 2024
Certification date
May 1, 2024
Last updated
May 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics––Yes

Practice location

49 Mount Whitney Dr
San Rafael, CA 94903-1036

Phone 408-666-8569

Mailing address

49 Mount Whitney Dr
San Rafael, CA 94903-1036

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