Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | OT 401 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 401 | CA |
NPI | 1821223819 |
---|---|
Provider Name | Eufrocina Salonga |
First Address | San Ramon, CA 94583-1655 |
Second Address | San Ramon, CA 94583-1655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2009 |
Last Update Date | 03/07/2013 |