Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 6758 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | OT 6758 | CA |
N | 225XG0600X | Occupational Therapist - Gerontology | OT 6758 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 6758 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 6758 | CA |
NPI | 1922334234 |
---|---|
Provider Name | Mr. Cesar Cruz Arada |
First Address | San Francisco, CA 94132-2035 |
Second Address | San Francisco, CA 94132-2035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2009 |
Last Update Date | 20/10/2009 |