Individual
IRMA TERESA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15454 GALE AVE, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Mailing address
15454 GALE AVE, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA2994
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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