Individual
SUSANA OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3252 W ASHLAN AVE APT 143, FRESNO, CA 93722-4409
(626) 482-3676
Mailing address
3252 W ASHLAN AVE APT 143, FRESNO, CA 93722-4409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA614
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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