Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 20515 | CA |
NPI | 1023635463 |
---|---|
Provider Name | Nacira Sahagun |
First Address | Grover Beach, CA 93433-2537 |
Second Address | Santa Barbara, CA 93101-4195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2020 |
Last Update Date | 01/07/2020 |