Individual
PATRICIA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(714) 639-4990
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4212
CA
Other
Enumeration date
04/03/2018
Last updated
04/16/2019
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