Individual
JOSUE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1625 OAK PARK BLVD, PLEASANT HILL, CA 94523-4487
(925) 935-5222
Mailing address
9220 GAMBIER CT, SACRAMENTO, CA 95829-1568
(916) 599-0878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5370
CA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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