Individual
ERICKA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S CHAPARRAL CT STE 160, ANAHEIM, CA 92808-2283
(714) 794-5889
Mailing address
9656 PALMETTO AVE, FONTANA, CA 92335-5979
(626) 421-1271
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10402
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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