Individual
OCTAVIO VASQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8801 FOLSOM BLVD STE 110, SACRAMENTO, CA 95826-3249
(916) 620-8050
Mailing address
2443 FAIR OAKS BLVD # 1221, SACRAMENTO, CA 95825-7684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
24834
CA
225XH1200X
Hand Occupational Therapist
Primary
24834
CA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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