Individual provider · Type 1 NPI

Gary Mark Agcaoili, C.T.R.S

Recreation Therapist · San Francisco, CA

NPI number 1649284019 Active

Practice location

4150 Clement St
San Francisco, CA 94121-1545

Mailing address

3520 Park Ridge Dr
Richmond, CA 94806-5824

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X32223 (CA)

Recreation Therapist: 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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About NPI 1649284019

Gary Mark Agcaoili, C.T.R.S's National Provider Identifier is 1649284019, issued on Jul 28, 2006. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.