Individual
MR. JOHN Q. ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
510 W 26TH ST, MERCED, CA 95340-2804
(209) 723-2911
Mailing address
200 SENECA ST APT 124, MERCED, CA 95340-1472
(209) 769-6486
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QIV010224556
BC/BS
CA
Enumeration date
10/09/2018
Last updated
10/09/2018
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