Individual
IGOR SHKURATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MEDICAL PLAZA DR, SUITE 100, ROSEVILLE, CA 95661-3087
(916) 797-4734
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14103
CA
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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