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MARC CAVALLO OTR
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1497143010
Individual Registrant: MARC CAVALLO OTR
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2321 NEWBURG RD FORTUNA, CA 95540-2815 US
Tel: 707-725-4467 Fax: --
Tel: 707-725-4467 Fax: --
Contact information for business:
2416 GREENWOOD HEIGHTS DR KNEELAND, CA 95549-8906 US
Tel: 707-832-9556 Fax: --
Tel: 707-832-9556 Fax: --
Registration Information:
NPI: 1497143010
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | CA | 4304 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
