Individual
ALTHEA VALENCERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 596-7733
Mailing address
9472 HEARTHSIDE CT, RANCHO CUCAMONGA, CA 91730-5757
(951) 897-4415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2857
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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