Individual
JOEL CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L ATP
Contact information
Practice address
2367 NEWPORT DRIVE, DISCOVERY BAY, CA 94505
(209) 938-9333
Mailing address
2367 NEWPORT DR, DISCOVERY BAY, CA 94505-9136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0142
CA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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