Individual provider · Type 1 NPI
Shivetti B. Ossome, MS, OCC. THERAPIST
Home Health Agency · Elk Grove, CA
Practice location
4813 Tegan Rd
Elk Grove, CA 95758-5149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | OT 1173 (CA) |
| Physical Therapy Clinic/Center | 261QP2000X | OT 1173 (CA) |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | OT 1173 (CA) |
| Skilled Nursing Facility | 314000000X | OT 1173 (CA) |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
Another provider at this address
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About NPI 1861638728
Shivetti B. Ossome, MS, OCC. THERAPIST's National Provider Identifier is 1861638728, issued on Dec 25, 2008. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Elk Grove, CA. The record was last updated on Dec 25, 2008.