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Individual

CARLO RIEL DE LEON ALCALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2230 W SUNNYSIDE AVE STE 1, VISALIA, CA 93277-7269
(559) 799-7209
Mailing address
1040 W GRAND AVE APT 212, PORTERVILLE, CA 93257-1978
(559) 339-5776

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16000
CA

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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