Most Relevant Information
Provider Data
| NPI Number: | 1003467929 |
| Provider Name: | CRISTIAN ARMENTA IBARRA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 4168 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
9440 CITRUS AVE
FONTANA
CA
923355512
Practice Location Phone/Fax
| Phone: | 9098231481 |
| Fax: |
Provider Mailing Location
9440 CITRUS AVE
FONTANA
CA
923355512
Provider Mailing Phone/Fax
| Phone: | 9095033820 |
| Fax: |