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NPI Code Detail

MEDICARE: MS. CARLA SUAREZ REYES-CUERVA OT,CHT.

MEDICARE: MS. CARLA SUAREZ REYES-CUERVA OT,CHT.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT2716CA
2225XH1200XHand Occupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT2716OTHERCACA BD OF OCCUPATIONAL THERAPY

General Provider Information

NPI Number : 1043567852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLA SUAREZ REYES-CUERVA OT,CHT.
Provider Business Mailing Address
First Line : 5455 N MARTY AVE
Second Line : APT. #113
City : FRESNO
State : CA
Zip : 93711-6551
Country : US
Telephone Number : 559-960-6340
Fax Number :
Provider Business Practice Location Address
First Line : 7005 N MAPLE AVE
Second Line : SUITE 104
City : FRESNO
State : CA
Zip : 93720-8009
Country : US
Telephone Number : 559-325-3503
Fax Number : 559-325-3504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 08/10/2012

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Directions to “ MS. CARLA SUAREZ REYES-CUERVA OT,CHT.” Practice Location

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