Individual
NICHOLAS ANTHONY MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT; OTR/L
Contact information
Practice address
5270 ELVAS AVE, SACRAMENTO, CA 95819-2332
(530) 574-0864
Mailing address
2707 BIDWELL ST APT 2, DAVIS, CA 95618-0369
(530) 574-0864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3310
CA
225XP0200X
Pediatric Occupational Therapist
Primary
3310
CA
Other
Enumeration date
06/22/2009
Last updated
05/07/2018
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