Provider Demographics
NPI:1801554530
Name:RESPICIO, JAMES ROBES (COTA/L)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBES
Last Name:RESPICIO
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
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Mailing Address - Street 1:1624 S BREEZY MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2497
Mailing Address - Country:US
Mailing Address - Phone:818-307-4228
Mailing Address - Fax:
Practice Address - Street 1:3900 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6647
Practice Address - Country:US
Practice Address - Phone:916-481-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1832224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant