License Directory

Samantha Christy Nugroho

Active

California license 29597

License

Licensed by
California Board of Occupational Therapy
License number
29597
Status
Active (Current)
First issued
September 9, 2026
Expires
February 29, 2028
License holder
Samantha Christy Nugroho
Entity type
Individual

Classifications

More from the license record

License type code
7101

Contact

5570 Hunt Club Dr
Fontana, CA 92336-1162