Individual
TONI DE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5086 MIDWAY RD, VACAVILLE, CA 95688-9606
(707) 451-1859
Mailing address
5086 MIDWAY RD, VACAVILLE, CA 95688-9606
(707) 451-1859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 74
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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