Individual
ERIBERTO SELMA BEDUYA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
17326 KINGSBURY ST, GRANADA HILLS, CA 91344-6110
(818) 217-9677
Mailing address
17326 KINGSBURY ST, GRANADA HILLS, CA 91344-6110
(818) 217-9677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3581
CA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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