Individual
FARRAH MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 SPRING ST, CLAREMONT, CA 91711-4930
(626) 986-3573
Mailing address
11068 BOREN AVE, LOMA LINDA, CA 92354-6516
(909) 492-6325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25795
CA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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