Individual
DESHAWN BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 FAIR OAKS BLVD, SACRAMENTO, CA 95825-4708
(916) 480-6735
Mailing address
4024 MONTCALM PL, ROSEVILLE, CA 95747-6643
(916) 462-0181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10459
CA
Other
Enumeration date
08/29/2017
Last updated
11/23/2021
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