Individual
DONNIE C SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
801 W VALLEY BLVD, SUITE 204, ALHAMBRA, CA 91803-3250
(818) 658-0060
Mailing address
1314 N ORCHARD DR, BURBANK, CA 91506-1112
(818) 658-0060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA2861
OTA2861
CA
Enumeration date
01/03/2017
Last updated
01/03/2017
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