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

MRS. DENISE ABANSADO MODOLO, MOT/OTR/L

Active Sole Proprietor

MRS. DENISE ABANSADO MODOLO, MOT/OTR/L is a Pediatric Occupational Therapist healthcare provider located in SAN ANSELMO, California. NPI 1922246479 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · SAN ANSELMO, CA

Registration Details

NPI Number: 1922246479
Provider Type: Individual
Gender: Female
NPI Issued: Jan 21, 2009 (17.577128625761 yrs)
Last Updated: Jan 21, 2009
License: OT2563 (CA)
Sole Proprietor: Yes

Practice Information

Address: 412 REDHILL AVE

#1

SAN ANSELMO, CA, 94960
Browse CA providers · Browse ZIP 94960
Phone: 4154574409
Fax: 4154889781
Primary Specialty: Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in SAN ANSELMO, CA

Name	Credential	NPI
SHANNON LOGAN SOBIERAJ	OTR/L	1073955522
GINA LIN GALLIANI	—	1225485626
JODI MCCLAIN	OTR/L	1629516356

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.