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Individual

MS. MIKI BERNAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, OT/L, CHT

Contact information

Practice address
1 CORTE ESTANTE, SAN CLEMENTE, CA 92673
(949) 338-9131
(949) 498-9131
Mailing address
1 CORTE ESTANTE, SAN CLEMENTE, CA 93673-6803
(949) 338-9131
(949) 498-9131

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
O.T. 6267
CA

Other

Enumeration date
10/19/2006
Last updated
04/22/2010
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