Individual
REBECCA MYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 W SHAW AVE BLDG A, FRESNO, CA 93711-3334
(559) 228-9100
(559) 228-9200
Mailing address
2505 W SHAW AVE BLDG A, FRESNO, CA 93711-3334
(559) 228-9100
(559) 228-9200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1377
CA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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