Organization
DEVELOPMENTAL OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA UPDEGRAFF (COTA/L)
(916) 425-8330
Entity
Organization
Contact information
Practice address
3416 AMERICAN RIVER DR STE B, SACRAMENTO, CA 95864-5753
(916) 979-0497
Mailing address
3416 AMERICAN RIVER DR STE B, SACRAMENTO, CA 95864-5753
(916) 979-0497
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
06/14/2024
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