Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 11394 | CA |
NPI | 1053890251 |
---|---|
Provider Name | Erik Ferland |
First Address | Sacramento, CA 95818-1433 |
Second Address | Sacramento, CA 95818-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2018 |
Last Update Date | 08/08/2018 |