Raygoza, Staci L

Raygoza, Staci L is an individual health care provider with primary practice located at 17318 San Luis St.. #3 , Fountain Valley CA 92708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Raygoza, Staci L can be contacted via phone (714) 963-3770.

Contact Information

Primary practice address
17318 San Luis St.. #3 Fountain Valley CA 92708
Phone: (714) 963-3770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 1233 California

Profile Details

NPI number 1043431950
LBN Legal business name Raygoza, Staci L
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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