Individual
MRS. MARJORIE FAITH ESTOQUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
710 GOLDEN AVE, PLACENTIA, CA 92870-1635
(714) 993-2093
Mailing address
1465 VOYAGER DRIVE, TUSTIN, CA 92782-1725
(949) 552-1242
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
954
CA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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