Provider Demographics
NPI:1619620630
Name:CUENCA-NARIO, KATRINA (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:
Last Name:CUENCA-NARIO
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12419 RODEO DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9599
Mailing Address - Country:US
Mailing Address - Phone:909-728-7889
Mailing Address - Fax:
Practice Address - Street 1:12419 RODEO DR
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-9599
Practice Address - Country:US
Practice Address - Phone:909-728-7889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15816225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist