Individual
MRS. ALLA SUKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS DEGREE, COTA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7043
Mailing address
608 SMILAX AVE, WEST SACRAMENTO, CA 95605-2034
(916) 879-7163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1727
CA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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