Individual
ANGELA DAWN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRE
Contact information
Practice address
2530 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1602
(805) 928-4465
(805) 928-7935
Mailing address
2530 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1602
(805) 928-4465
(805) 928-7935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CT0059370
—
CA
01
—
OT0059370
BLUE SHIELD
CA
Enumeration date
01/02/2007
Last updated
07/08/2007
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