Provider Demographics
NPI:1457028326
Name:MOTAREF, MAY (DPT)
Entity Type:Individual
Prefix:DR
First Name:MAY
Middle Name:
Last Name:MOTAREF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1845 BUSINESS CENTER DR STE 127
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:909-890-4393
Practice Address - Street 1:10470 FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3754
Practice Address - Country:US
Practice Address - Phone:909-948-0411
Practice Address - Fax:909-890-4393
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300827225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA300827OtherPHYSICAL THERAPY BOARD OF CALIFORNIA