Individual
FELICIA SOEDARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
275 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3238
(909) 567-2221
(909) 763-3216
Mailing address
275 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3238
(909) 567-2221
(909) 763-3216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20294
CA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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