Mark Mendes, OT
Occupational Therapist in Porterville, CA. Individual provider (NPI-1).
NPI number1013240589
StatusActive
Last updated in NPPESSep 15, 2009
Details
- NPI
- 1013240589
- Entity type
- Individual (NPI-1)
- Name
- Mark Mendes
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2009
- Last updated
- Sep 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 4478 | CA | Yes |
Practice location
1100 W Morton AvePorterville, CA 93257-1947
Phone 559-782-1509 · Fax 559-781-5220
Mailing address
1301 E Bidwell StSuite 201
Folsom, CA 95630-3565
Phone 916-983-5915 · Fax 916-983-5925
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