NPI 1649284019

Gary Mark Agcaoili, CTRS

Practitioner Recreation Therapist San Francisco, CA

Practice location

Address: 4150 Clement St, San Francisco, CA 94121-1545
Phone: (415) 221-4810
Mailing address: 3520 Park Ridge Dr, Richmond, CA 94806-5824

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 32223 (CA)

Other Recreation Therapist providers in California →

Registry record

NPI: 1649284019
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.