License Directory

Derrick Nathaniel Sumampong

Active

California license 21966

License

Licensed by
California Board of Occupational Therapy
License number
21966
Status
Active (Current)
First issued
December 18, 2020
Expires
April 30, 2027
License holder
Derrick Nathaniel Sumampong
Entity type
Individual

Classifications

More from the license record

License type code
7101

Contact

4953 Shady Trail St
Simi Valley, CA 93063-0218