MICHAEL VIDAL

LONG BEACH, CA
NPI1790391415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  5334)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
MICHAEL VIDAL COTA/L
2126 OREGON AVE
LONG BEACH, CA 90806-4141
Phone number: 562-756-5426
Mailing Address
MICHAEL VIDAL COTA/L
2126 OREGON AVE
LONG BEACH, CA 90806-4141
Phone number: 562-756-5426
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