Individual
SARA R PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 KNICKERBOCKER DR, STOCKTON, CA 95210-3119
(619) 452-4554
Mailing address
1918 S CHURCH ST APT 27, LODI, CA 95240-6292
(619) 452-4554
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4531
CA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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