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Individual

BIANCA DE SOUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1375 EXPOSITION BLVD STE 250, SACRAMENTO, CA 95815-5115
(877) 667-8770
Mailing address
1375 EXPOSITION BLVD STE 250, SACRAMENTO, CA 95815-5115

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1078
SD
225X00000X
Occupational Therapist
Primary
17930
CA

Other

Enumeration date
09/25/2017
Last updated
04/13/2024
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