Individual
SARAH MARIE MINICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
19985 LAYTON ST., CORONA, CA 92881-4438
(714) 791-1138
Mailing address
19985 LAYTON ST, CORONA, CA 92881-4438
(714) 791-1138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1857
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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