Individual
MISS HAYLEY AUBRIE HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31453 HEITZ LN, TEMECULA, CA 92591-4975
(951) 265-6709
Mailing address
31453 HEITZ LN, TEMECULA, CA 92591-4975
(951) 265-6709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2299
CA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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