Individual ProviderStewart Dakota DurstOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address600 Sand Hill Rd, Palo Alto, CA 94304-2630(650) 853-5028(760) 208-5737PECOS EnrollmentBased on the most recent information from CMS, provider Stewart Dakota Durst does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295216265Provider TypeIndividualFull NameDurst, Stewart DakotaTitleMr.CredentialOTR/LGenderMaleSole ProprietorYesEnumeration Date8/27/2018Last Updated8/27/2018Contact InformationPractice LocationPractice Address600 Sand Hill Rd, Palo Alto, CA 94304-2630Phone(650) 853-5028FaxUnlisted FaxMailing LocationMailing Address15920 Saint Johns Dr, San Lorenzo, CA 94580-1706Phone(760) 208-5737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13406California