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Contact Information

DENISE A MODOLO, MOT/OTR/L
412 REDHILL AVE
#1
SAN ANSELMO, CA94960
 Phone: 415-457-4409
 Fax: 415-488-9781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DENISE A MODOLO · (Female)

NPI Number 1922246479
Status Active
Credentials MOT/OTR/L
Entity Individual
Enumeration date 01/21/2009
Last updated 01/21/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OT2563
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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