Individual
ALICE H FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1323 W COLTON AVE STE 105, REDLANDS, CA 92374-2853
(909) 978-7997
Mailing address
PO BOX 10016, REDLANDS, CA 92375-3216
(909) 883-5069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17481
CA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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