Healthcare Provider Details

I. General information

NPI: 1790600765
Provider Name (Legal Business Name): ARLENE MARQUES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 ARLINGTON AVE
RIVERSIDE CA
92504-2035
US

IV. Provider business mailing address

5700 ARLINGTON AVE
RIVERSIDE CA
92504-2035
US

V. Phone/Fax

Practice location:
  • Phone: 951-352-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT29332
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: