Individual
SIERRA R VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT3834
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3834
STATE LICENSE
NM
Enumeration date
05/25/2021
Last updated
05/25/2021
Update your record
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