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MARC CAVALLO OTR

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1497143010

Individual Registrant:
 MARC  CAVALLO OTR
Gender: M
Sole Proprietor

Location and contact information for practice:
2321 NEWBURG RD  FORTUNA, CA 95540-2815 US
Tel: 707-725-4467  Fax: --

Contact information for business:
2416 GREENWOOD HEIGHTS DR  KNEELAND, CA 95549-8906 US
Tel: 707-832-9556  Fax: --

Registration Information:
NPI: 1497143010
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CA4304

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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