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Beverly Hendricks, COTA/C
Specialist in Fullerton, California
NPI 1174769525

Beverly Hendricks is a Specialist based in Fullerton, CA. Beverly Hendricks practices in Fullerton, CA and has the professional credentials of COTA/C. The NPI Number for Beverly Hendricks is 1174769525 and holds a License No. 1074989 (California).

The current practice location address for Beverly Hendricks is 1612 E Union Ave, Fullerton, CA and can be reached out via phone at 714-639-4990.

Location: 1612 E Union Ave, Fullerton, CA, 92831-2936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174769525
Provider Name
Beverly Hendricks
Credential
COTA/C
Provider Entity Type
Individual
Gender
Female
Address
1612 E Union Ave, Fullerton, CA, 92831-2936
Phone Number
714-639-4990
Fax Number
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1612 E Union Ave
City
Fullerton
State
California
Zip
92831-2936
Phone Number
714-639-4990
Fax Number
person
Provider Business Mailing Address Details
Address
1612 E Union Ave
City
Fullerton
State
California
Zip
92831-2936
Phone Number
714-639-4990
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1074989 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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