Individual
JOSE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
650 W ALLUVIAL AVE, CLOVIS, CA 93611-6716
(559) 323-6200
Mailing address
3750 N FRESNO ST APT 143, FRESNO, CA 93726-5505
(305) 746-1613
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4436
CA
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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