Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA2141 | CA |
NPI | 1023302791 |
---|---|
Provider Name | Mrs. April Lynn Sisk |
First Address | Solana Beach, CA 92075-1309 |
Second Address | Solana Beach, CA 92075-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 31/05/2011 |