Individual
MICHAELA SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6848 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92506-2898
(951) 779-1966
Mailing address
20803 KINGSTON LN, RIVERSIDE, CA 92508-2541
(951) 565-6013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4806
CA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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