Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4042 | CA |
NPI | 1154656619 |
---|---|
Provider Name | Donna Sparagna |
First Address | San Jose, CA 95125-5616 |
Second Address | Cupertino, CA 95014-2519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2009 |
Last Update Date | 16/10/2009 |