Individual
IRMA OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
301 E VANDERBILT WAY STE 100, SAN BERNARDINO, CA 92408-3556
(095) 672-6619
Mailing address
4959 PALO VERDE ST STE 109C, MONTCLAIR, CA 91763-2358
(909) 971-3092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7215
CA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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