Individual
SHELBY VANDEREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
32881 PATERNO ST, TEMECULA, CA 92592-9393
(951) 719-7586
Mailing address
35008 PALA TEMECULA RD # 470, PALA, CA 92059-2419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6228
CA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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