Individual
JUIE DAWN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 OREGON ST, SONOMA, CA 95476-6445
(707) 343-9941
Mailing address
807 MICHAEL DR, SONOMA, CA 95476-4645
(707) 481-8855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6519
CA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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