Individual
ROSIE MAGDALENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8670 TEGEA WAY, ELK GROVE, CA 95624-3451
(916) 802-7889
Mailing address
8670 TEGEA WAY, ELK GROVE, CA 95624-3451
(916) 802-7889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2128
CA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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