Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 6222 | CA |
NPI | 1215264387 |
---|---|
Provider Name | Rose Angela Buechler |
First Address | Rohnert Park, CA 94928 |
Second Address | Rohnert Park, CA 94928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2009 |
Last Update Date | 11/02/2022 |