NPI 1003407479
Josue Sandoval, COTA
Practice location
- Address
- 1625 Oak Park Blvd, Pleasant Hill, CA 94523-4487
- Phone
- (925) 935-5222
- Mailing address
- 9220 Gambier CT, Sacramento, CA 95829-1568
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003407479
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Jan 2021
- Record last updated
- 28 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.