Individual
ALVIE CAMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
16689 FOOTHILL BLVD STE 106, FONTANA, CA 92335-8410
(909) 528-0776
Mailing address
5359 TRENTO WAY, FONTANA, CA 92336-4611
(909) 528-0776
(909) 822-7863
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT 9783
CA
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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