Individual
KARINNA SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
OTA-046612
AZ
224Z00000X
Occupational Therapy Assistant
OTA-046612
AZ
Other
Enumeration date
06/01/2024
Last updated
11/20/2024
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