Individual
MARIA DONNA BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
501 S BEACH BLVD, ANAHEIM, CA 92804-1810
(714) 816-0540
Mailing address
1780 W LINCOLN AVE, APT 333, ANAHEIM, CA 92801-6760
(562) 455-5688
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
OT 10247
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT 10247
CA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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