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Laura Tataille

Occupational Therapist in Manteca, CA. Individual provider (NPI-1).

NPI number1649036633
StatusActive
Last updated in NPPESFeb 27, 2024

Details

NPI
1649036633
Entity type
Individual (NPI-1)
Name
Laura Tataille
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2024
Certification date
Feb 27, 2024
Last updated
Feb 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT25890CAYes

Practice location

1721 W Yosemite Ave
Manteca, CA 95337-5130

Phone 224-565-0265

Mailing address

1020 Darrow Ave Apt 2
Evanston, IL 60202-1193

Phone 224-565-0265

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Other Occupational Therapist providers in Manteca, CA

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