Provider Demographics
NPI:1851789358
Name:ARTUSO, SIENA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:SIENA
Middle Name:
Last Name:ARTUSO
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4034 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:APT 1
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2390
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4034 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:APT 1
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2390
Practice Address - Country:US
Practice Address - Phone:908-672-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13754225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist