Individual
AUSTIN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5161 FOOTHILLS BLVD, ROSEVILLE, CA 95747-6546
(800) 967-4667
Mailing address
1409 BLUE SQUIRREL ST, ROSEVILLE, CA 95747-4639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24230
CA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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