Individual
MRS. MELISSA MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 SALEM DR, REDLANDS, CA 92373
(909) 793-1233
Mailing address
PO BOX 1595, RIALTO, CA 92377-1595
(909) 561-2744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4400
CA
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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