Individual
MS. DIANA ROUTKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5270 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 905-0902
Mailing address
PO BOX 277233, SACRAMENTO, CA 95827-7233
(916) 803-1489
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA4471
CA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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