Individual
EDWARD JOSEPH SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1610 ARDEN WAY STE 195, SACRAMENTO, CA 95815-4035
(137) 991-6649
Mailing address
2575 BEACHWOOD DR, MERCED, CA 95348-3608
(209) 761-9890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24739
CA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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