Individual
DEBRA MIJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 GOLDEN SHR, SUITE 250, LONG BEACH, CA 90802-4246
(866) 414-0448
Mailing address
890 GOVERNOR ST, COSTA MESA, CA 92627-3342
(949) 645-9881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA827
CA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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