Individual
IRINA IGOREVNA RUDOMETKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
813 FOURNESS DR, WEST SACRAMENTO, CA 95605-2225
(916) 477-9700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5255
CA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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