Individual
ALYSSA VICTORIA VILLANUEVA SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9900 INDIANA AVE STE 8, RIVERSIDE, CA 92503-5498
(951) 376-1120
Mailing address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225X00000X
Occupational Therapist
Primary
26768
CA
Other
Enumeration date
02/19/2021
Last updated
08/13/2024
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