Individual
COURTNEY ANN BACANI ANSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1954 KANE AVE, SACRAMENTO, CA 95835-1605
(916) 715-2777
Mailing address
1954 KANE AVE, SACRAMENTO, CA 95835-1605
(916) 715-2777
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
24024
CA
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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