Derrick Nathaniel Sumampong
ActiveCalifornia 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
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
4953 Shady Trail St
Simi Valley, CA 93063-0218
Simi Valley, CA 93063-0218