Individual
MRS. CLARISSA LIRIO SUBSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1680 E ROSEVILLE PKWY STE 112, ROSEVILLE, CA 95661-3988
(916) 746-3474
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(916) 708-8038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13367
CA
Other
Enumeration date
07/14/2017
Last updated
03/04/2022
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