Individual
JOSEFINA SURRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1738 N WARBLER PL, ORANGE, CA 92867-8416
(562) 413-1429
Mailing address
1738 N WARBLER PL, ORANGE, CA 92867-8416
(562) 413-1429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8592
CA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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