Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2809 | CA |
N | 225XG0600X | Occupational Therapist - Gerontology | 2809 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 2809 | CA |
NPI | 1225547284 |
---|---|
Provider Name | Ms. Sadiya Alilire |
First Address | Davis, CA 95618-6751 |
Second Address | Davis, CA 95618-6751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 21/09/2017 |