Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 7232 | CA |
NPI | 1003404708 |
---|---|
Provider Name | Minnett Sharon Condor Arriesgado |
First Address | Oceanside, CA 92054-3763 |
Second Address | Oceanside, CA 92054-3763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2021 |
Last Update Date | 19/03/2021 |