Individual
SARA ROSE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3552
(909) 373-1641
Mailing address
724 PRIMROSE PL, PERRIS, CA 92571-9401
(951) 295-7798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3031
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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