Most Relevant Information
Provider Data
| NPI Number: | 1003315169 |
| Provider Name: | KEVIN MCCARTHY |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 8646 |
Most Important Dates
| Enumeration Date: | 02/05/2018 |
| Last Updated: | 02/05/2018 |
Provider Practice Location
19312 SONOMA HWY, STE B SONOMA
SONOMA
CA
95476
Practice Location Phone/Fax
| Phone: | 7079398535 |
| Fax: |
Provider Mailing Location
19312 SONOMA HWY, STE B SONOMA
SONOMA
CA
95476
Provider Mailing Phone/Fax
| Phone: | 7079398535 |
| Fax: |