Beverly Hendricks, COTA/C

NPI #1174769525 in Fullerton, California

Provider Information

NPI Number: 1174769525
Entity Type: Individual
Name: Beverly Hendricks, COTA/C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: COTA/C
Enumeration Date: Jan 6, 2009
Last Updated: Jan 6, 2009

Practice Location

Address: 1612 E UNION AVE
City: Fullerton
State: California
ZIP Code: 92831-2936
Phone: (714) 639-4990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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