Individual
ELIZABETH MAESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E ROWLAND ST, COVINA, CA 91723-3153
(626) 339-0268
Mailing address
339 E ROWLAND ST, COVINA, CA 91723-3153
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA 780
CA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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