Individual
CORINA ISABEL NECESITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(213) 618-9149
Mailing address
1973 AUSTIN CT, CLAREMONT, CA 91711-2822
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7791
BOARD OF OT
CA
Enumeration date
05/02/2018
Last updated
04/10/2020
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