Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4636 | CA |
NPI | 1134154354 |
---|---|
Provider Name | Marci L Baptista |
First Address | Walnut Creek, CA 94598-8396 |
Second Address | Concord, CA 94520-2530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 12/05/2021 |