Eriberto Selma Beduya Jr., OTA/L
Occupational Therapy Assistant in Granada Hills, CA. Individual provider (NPI-1).
NPI number1194480038
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1194480038
- Entity type
- Individual (NPI-1)
- Name
- Eriberto Selma Beduya Jr.
- Credential
- OTA/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 3581 | CA | Yes |
Practice location
17326 Kingsbury StGranada Hills, CA 91344-6110
Phone 818-217-9677
Mailing address
17326 Kingsbury StGranada Hills, CA 91344-6110
Phone 818-217-9677
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