Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 4355 | CA |
NPI | 1013533942 |
---|---|
Provider Name | Karolina Pulber |
First Address | North Highlands, CA 95660-4337 |
Second Address | North Highlands, CA 95660-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2020 |
Last Update Date | 16/06/2020 |