Individual
MALIA ERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
(949) 498-5100
Mailing address
2909 W EDINGER AVE, SANTA ANA, CA 92704-3926
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23406
CA
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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