Individual
MRS. STEFFI ELLEIN RIVERA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6938 E MONACO PKWY, ORANGE, CA 92867-6462
(815) 519-6388
Mailing address
2840 CHANNEL REEF AVE, TULARE, CA 93274-7509
(815) 519-6388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13373
CA
225XG0600X
Gerontology Occupational Therapist
Primary
13373
CA
Other
Enumeration date
02/08/2019
Last updated
03/05/2019
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