SONIA RICAPORTE KILLAM OTRL
NPI 1962543157
Occupational Therapist - Neurorehabilitation in Vallejo, CA
Active since February 09, 2007
About Sonia Ricaporte Killam Otrl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONIA RICAPORTE KILLAM OTRL (NPI 1962543157) is an individual neurorehabilitation provider in Vallejo, California, licensed in California (2481) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1962543157
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NameSONIA RICAPORTE KILLAMCredential: OTRL
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address568 E J StBenicia, CA 94510-3434
Phone(707) 651-1312
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1962543157 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in CA · 2481
975 SERENO DR, Vallejo, CA 94589
Other Names 1
Other Name (5)Sonia Pascual Ricaporte
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962543157, enumerated as an "individual" on February 09, 2007.
The provider is located at 975 SERENO DR VALLEJO, CA 94589 and the phone number is (707) 651-1312.
Occupational Therapist with taxonomy code 225XN1300X and a focus in Neurorehabilitation.