Individual
MS. CARLA SUAREZ REYES-CUERVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT,CHT.
Contact information
Practice address
7005 N MAPLE AVE, SUITE 104, FRESNO, CA 93720-8009
(559) 325-3503
(559) 325-3504
Mailing address
5455 N MARTY AVE, APT. #113, FRESNO, CA 93711-6551
(559) 960-6340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2716
CA
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2716
CA BD OF OCCUPATIONAL THERAPY
CA
Enumeration date
08/10/2012
Last updated
08/10/2012
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