MEDICARE: MRS. SHERYL RUFINO NIM OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	26398	CA

General Provider Information

NPI Number	:	1477480408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERYL RUFINO NIM OTR/L

Provider Business Mailing Address
First Line	:	2503 W LINGARD ST
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93536-6407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 W LINGARD ST
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93536-6407
Country	:	US
Telephone Number	:	661-586-2660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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