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Individual

ISAGANI YNOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1680 E ROSEVILLE PKWY STE 113, ROSEVILLE, CA 95661-3988
(916) 784-4000
Mailing address
833 CLEMENTINE DR, ROCKLIN, CA 95765-5756

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22759
CA

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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