Organization
HOPE RISING THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA D FREDERICO OCCUPATIONAL THERAPI (OWNER)
(585) 683-0408
Entity
Organization
Contact information
Practice address
31926 VIA ARARAT DR, BONSALL, CA 92003-4340
(585) 683-0408
Mailing address
31926 VIA ARARAT DR, BONSALL, CA 92003-4340
(585) 683-0408
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4314753
—
CA
Enumeration date
09/14/2020
Last updated
09/14/2020
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