Individual
NORMAN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
17358 SANDLEWOOD DR, RIVERSIDE, CA 92503-6780
(603) 717-2558
Mailing address
17358 SANDLEWOOD DR, RIVERSIDE, CA 92503-6780
(603) 717-2558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3895
CA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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