Individual
BRIANA ROQUE
Active
Individual
BRIANA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21898
CA
225XP0200X
Pediatric Occupational Therapist
OT-2604
NV
Other
Enumeration date
09/22/2020
Last updated
06/29/2021
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