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Individual

DANIEL JOSEPH VERGARA LAFRADEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
198 CIRBY WAY STE 140, ROSEVILLE, CA 95678-6430
(916) 773-8282
Mailing address
10096 MOSAIC WAY, ELK GROVE, CA 95757-5959
(916) 340-5663

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
523733
CA

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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