Individual
ANDREA SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2702
(415) 479-5161
Mailing address
1709 KEARNY ST, PETALUMA, CA 94954-3614
(415) 264-7672
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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