Healthcare Provider Details

I. General information

NPI: 1417309246
Provider Name (Legal Business Name): TERESA ESQUIVEL-PARKINSON COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 HOWE AVE STE. #107
SACRAMENTO CA
95825-3361
US

IV. Provider business mailing address

1337 HOWE AVE STE. #107
SACRAMENTO CA
95825-3361
US

V. Phone/Fax

Practice location:
  • Phone: 916-564-5231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number3564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: