Provider Demographics
NPI:1346612686
Name:FRENCH, PALOMA (OTL/R)
Entity Type:Individual
Prefix:
First Name:PALOMA
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:OTL/R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37788 THURNE ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-4514
Mailing Address - Country:US
Mailing Address - Phone:541-292-2068
Mailing Address - Fax:
Practice Address - Street 1:37788 THURNE ST
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-4514
Practice Address - Country:US
Practice Address - Phone:541-292-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15666225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist