Individual
MS. LULA MARIE CAPUCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3601 MARCONI AVE, SACRAMENTO, CA 95821-5309
(916) 481-1300
Mailing address
PO BOX 6268, FOLSOM, CA 95763-6268
(916) 481-1300
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
OT2084
CA
225XE0001X
Environmental Modification Occupational Therapist
OT2084
CA
225XE1200X
Ergonomics Occupational Therapist
OT2084
CA
225XH1200X
Hand Occupational Therapist
OT2084
CA
225XP0200X
Pediatric Occupational Therapist
OT2084
CA
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
OT2084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0020840
BLUE SHIELD PIN
CA
Enumeration date
03/29/2007
Last updated
05/19/2022
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