Individual
DARRYL BERNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1400 CIRCLE CITY DR, CORONA, CA 92879-1642
(951) 735-0252
Mailing address
523 LAS PALMAS DR, IRVINE, CA 92602-2315
(714) 272-0021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3069
CA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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