Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT517 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 517 | CA |
NPI | 1922210384 |
---|---|
Provider Name | Nancy Newton |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-6004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 24/07/2015 |