Individual
JOHANA NERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
955 LANE AVE STE 201, CHULA VISTA, CA 91914-4525
(619) 421-9521
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT17709
OT LICENSE
CA
Enumeration date
08/24/2017
Last updated
01/05/2023
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