Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3213 | CA |
NPI | 1013473123 |
---|---|
Provider Name | Simona Uruc |
First Address | North Highlands, CA 95660-4040 |
Second Address | North Highlands, CA 95660-4040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2019 |
Last Update Date | 13/02/2019 |