Individual
MRS. RENEE DENISE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, OTR/L
Contact information
Practice address
14345 SALINE DR, CORONA, CA 92880-3755
(626) 825-8551
Mailing address
14345 SALINE DR, CORONA, CA 92880-3755
(626) 825-8551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8428
CA
225XP0200X
Pediatric Occupational Therapist
Primary
8428
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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