Individual
MRS. LISA MICHELLE FARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 MARCONI AVE, SACRAMENTO, CA 95821
(916) 481-1300
(916) 481-9870
Mailing address
3601 MARCONI AVE, SACRAMENTO, CA 95821
(916) 481-1300
(916) 481-9870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4077
CA
Other
Enumeration date
08/14/2023
Last updated
08/17/2023
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