Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 3635 | CA |
NPI | 1366990657 |
---|---|
Provider Name | Wahida Sharman |
First Address | Sacramento, CA 95819-3606 |
Second Address | Sacramento, CA 95825-6703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2016 |
Last Update Date | 14/09/2016 |