Gary Mark Agcaoili in Richmond - Recreation Therapist
Gary Mark Agcaoili - NPI 1649284019
Gary Mark Agcaoili is a Recreation Therapist in Richmond, California. Gary Mark Agcaoili practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Gary Mark Agcaoili is 1649284019. The last update date is 2007-07-08.
Gary Mark Agcaoili's current location address is 3520 Park Ridge Dr, Richmond, California. You can contact this provider via phone number 5106855206. The mailing address for Gary Mark Agcaoili is 3520 Park Ridge Dr, Richmond, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Mark Agcaoili |
|---|---|
| Address | 3520 Park Ridge Dr, Richmond, California |
| Phone Number | 5106855206 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | C.T.R.S |
NPI Number Detail
| NPI Number | 1649284019 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3520 Park Ridge Dr |
|---|---|
| City | Richmond |
| State | California (CA) |
| Post Code | 948065824 |
| Phone Number | 5106855206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
| Licence No | 32223 |
|
Definition: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32223 | CA | RECREATION THERAPIST |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Mark Agcaoili by the Centers for Medicare & Medicaid Services?
The Gary Mark Agcaoili has been assigned the NPI (National Provider Identifier) 1649284019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Gary Mark Agcaoili's facilities are situated?
The facilities of Gary Mark Agcaoili are physically located at the following address: 3520 Park Ridge Dr, Richmond, CA, 948065824.
What is Gary Mark Agcaoili's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Mark Agcaoili's specialized field of practice is Recreation Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649284019 to Gary Mark Agcaoili?
The Gary Mark Agcaoili received its 1649284019 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information related to Gary Mark Agcaoili most recently updated or refreshed?
The details pertaining to the Gary Mark Agcaoili, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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