Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4836 | CA |
NPI | 1003406513 |
---|---|
Provider Name | Sonsoles Felpeto Calvino |
First Address | Encinitas, CA 92024-2107 |
Second Address | Encinitas, CA 92024-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2021 |
Last Update Date | 20/01/2021 |