Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 9538 | CA |
NPI | 1932586690 |
---|---|
Provider Name | Mrs. Sarah Cook |
First Address | Walnut Creek, CA 94598-3134 |
Second Address | Walnut Creek, CA 94598-3134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 01/05/2015 |