Individual
MRS. CATHERINE VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 CALVEDOS DR, CHULA VISTA, CA 91913-3939
(408) 396-2438
Mailing address
1835 CALVEDOS DR, CHULA VISTA, CA 91913-3939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5757
CA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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