Organization
CAL OT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ROESE OTD, OTR/L (PRESIDENT)
(951) 990-3115
Entity
Organization
Contact information
Practice address
118 E BLAINE ST, RIVERSIDE, CA 92507-3226
(951) 990-3115
Mailing address
PO BOX 1724, LOMA LINDA, CA 92354-0150
(951) 990-3115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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