Sean Victoria
Occupational Therapy Assistant in Baldwin Park, CA. Individual provider (NPI-1).
NPI number1295190866
StatusActive
Last updated in NPPESDec 23, 2015
Details
- NPI
- 1295190866
- Entity type
- Individual (NPI-1)
- Name
- Sean Victoria
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2015
- Last updated
- Dec 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 3427 | CA | Yes |
| 164X00000X | Licensed Vocational Nurse | 260569 | CA |
Practice location
3541 Puente AveBaldwin Park, CA 91706-5534
Phone 626-962-1043
Mailing address
2981 Crooked Creek DrDiamond Bar, CA 91765-3408
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