Individual
JOANNA BIANCA CODILLA SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
375 LAGUNA HONDA BLVD, SAN FRANCISCO, CA 94116-1411
(415) 682-5726
Mailing address
375 LAGUNA HONDA BLVD, SAN FRANCISCO, CA 94116-1499
(415) 682-5726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17251
CA
Other
Enumeration date
04/03/2020
Last updated
01/26/2022
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