MEDICARE: SONIA CARRASCO OTR

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	OT 5216	CA

General Provider Information

NPI Number	:	1720283609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA CARRASCO OTR

Provider Business Mailing Address
First Line	:	3503 BERETANIA WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2547
Country	:	US
Telephone Number	:	916-943-5596
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 ARENA BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-3721
Country	:	US
Telephone Number	:	916-567-5740
Fax Number	:

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	03/04/2026

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Directions to “ SONIA CARRASCO OTR” Practice Location

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