Individual
RIA OLAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1260 E OHIO AVE, ESCONDIDO, CA 92027-3054
(760) 746-1100
Mailing address
3376 CAMINO MARZAGAN, ESCONDIDO, CA 92029-7452
(858) 776-9107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2052
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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