License Directory

Nicole Isabella Sumampong

Active

California license 22964

License

Licensed by
California Board of Occupational Therapy
License number
22964
Status
Active (Current)
First issued
November 3, 2021
Expires
December 31, 2027
License holder
Nicole Isabella Sumampong
Entity type
Individual

Classifications

More from the license record

License type code
7101

Contact

4953 Shady Trail St
Simi Valley, CA 93063-0218
Ventura County