Individual
MR. ANGELO ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 HERITAGE LN, SACRAMENTO, CA 95815-4926
(510) 337-7950
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003388
OH
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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