NPI 1033638192

Anna Marie Agoncillo

Practitioner Occupational Therapy Assistant Sacramento, CA

Practice location

Address: 3400 Alta Arden Expy, Sacramento, CA 95825-2103
Phone: (916) 481-5500
Mailing address: 8400 Dara Way, Sacramento, CA 95828-6000

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA4050 (CA)

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1033638192
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2017
Record last updated: 10 Sep 2017

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.