Individual
THERESA HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
686 E MILL ST, SAN BERNARDINO, CA 92415-0647
(909) 798-8455
Mailing address
686 E MILL ST, SAN BERNARDINO, CA 92415-0647
(909) 798-8455
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
4458
CA
Other
Enumeration date
12/14/2016
Last updated
07/16/2019
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