Individual
HEATHER LYNN TRENTADUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
16265 LAGUNA CANYON RD, IRVINE, CA 92618-3603
(949) 857-0255
Mailing address
70 SKLAR ST APT 1115, LADERA RANCH, CA 92694-0775
(720) 299-9796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12699
CA
Other
Enumeration date
02/17/2009
Last updated
10/04/2012
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