Soedargo, Felicia

Soedargo, Felicia is an individual health care provider with primary practice located at 275 W Hospitality Ln Ste 103 , San Bernardino CA 92408-3238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Soedargo, Felicia can be contacted via phone (909) 567-2221.

Contact Information

Primary practice address
275 W Hospitality Ln Ste 103 San Bernardino CA 92408-3238
Phone: (909) 567-2221
Fax: (909) 763-3216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT20294 California

Profile Details

NPI number 1508474941
LBN Legal business name Soedargo, Felicia
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Jul 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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