Individual
ANDREW TIVILIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4380 AUBURN BLVD, SACRAMENTO, CA 95841-4148
(916) 771-8255
Mailing address
4380 AUBURN BLVD, SACRAMENTO, CA 95841-4148
(916) 771-8255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6944
CA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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