Individual
MISS ANYA ROSE SOLED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5554 THOMAS RD, SEBASTOPOL, CA 95472-9377
(415) 297-8892
Mailing address
5554 THOMAS RD, SEBASTOPOL, CA 95472-9377
(415) 250-9288
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT19521
CA
Other
Enumeration date
03/26/2015
Last updated
05/15/2024
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