Individual
MRS. ALYSSIA RAQUEL SEGURA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14772 PIPELINE AVE, CHINO HILLS, CA 91709-6027
(909) 606-0886
Mailing address
13245 CHUKAR CT, CHINO, CA 91710-3899
(909) 802-3901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13132
CA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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