Individual
MRS. PATRICIA ANN NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.L.
Contact information
Practice address
9161 SIERRA AVE., SUITE 111, FONTANA, CA 92335
(909) 427-4073
Mailing address
33672 ANGELES DRIVE, P.O.BOX 8181, GREEN VALLEY LAKE, CA 92341-8181
(909) 867-2995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5295
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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