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NPI Code Detail

MEDICARE: STEPHANIE SORIANO

MEDICARE: STEPHANIE SORIANO
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
1225X00000XOccupational TherapistOT16158CA

General Provider Information

NPI Number : 1548669138
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SORIANO
Provider Business Mailing Address
First Line : 1101 S CAPITAL OF TEXAS HWY
Second Line : STE. G200
City : WEST LAKE HILLS
State : TX
Zip : 78746-6445
Country : US
Telephone Number : 951-777-4749
Fax Number :
Provider Business Practice Location Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number : 951-777-4749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2014
Last Update Date : 12/02/2016

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Directions to “ STEPHANIE SORIANO ” Practice Location

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