Provider Demographics
NPI:1033886916
Name:MOTA, SHARI LEE
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LEE
Last Name:MOTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3940
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-3940
Mailing Address - Country:US
Mailing Address - Phone:530-283-3330
Mailing Address - Fax:
Practice Address - Street 1:1229 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:RICHVALE
Practice Address - State:CA
Practice Address - Zip Code:95974-9597
Practice Address - Country:US
Practice Address - Phone:707-599-6473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor