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NPI Code Detail

MEDICARE: MRS. CHARNE SHOOB OTR

MEDICARE: MRS. CHARNE SHOOB OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4098CA

General Provider Information

NPI Number : 1851425268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHARNE SHOOB OTR
Provider Business Mailing Address
First Line : 201 FOREST CREEK LN
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1250
Country : US
Telephone Number : 650-367-1890
Fax Number : 650-369-6465
Provider Business Practice Location Address
First Line : 200 EDMONDS RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-3813
Country : US
Telephone Number : 650-367-1890
Fax Number : 650-369-6465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CHARNE SHOOB OTR” Practice Location

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