Individual
EDINIA SAMSON HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4248 WEATHERVANE WAY, ROSEVILLE, CA 95747-4213
(408) 332-9946
Mailing address
4248 WEATHERVANE WAY, ROSEVILLE, CA 95747-4213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8365
CA
Other
Enumeration date
08/07/2018
Last updated
01/27/2022
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