Individual
MIRIAM REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18800 AMAR RD STE B07, WALNUT, CA 91789-7106
(626) 330-1538
Mailing address
20505 E PEACH BLOSSOM RD, WALNUT, CA 91789-4448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4629
CA
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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