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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHREDERICK CHARLES KING JR., OTR/L

Active Sole Proprietor

SHREDERICK CHARLES KING JR., OTR/L is a Occupational Therapist healthcare provider located in ARROYO GRANDE, California. NPI 1417676461 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ARROYO GRANDE, CA

Registration Details

NPI Number
1417676461
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2022 (3.9872376714916 yrs)
Last Updated
Aug 23, 2022
Licenses
122377 (TX)
328007 (LA)
23906 (CA)
Sole Proprietor
Yes

Practice Information

Address
345 S HALCYON RD
ARROYO GRANDE, CA, 934203817
Browse CA providers · Browse ZIP 93420
Phone
8448859903
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in ARROYO GRANDE, CA

Name Credential NPI
JENNIFER WILLKOMM OTR 1184192759
KENDRA KLEIN OTR/L 1760265987
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.