Provider Demographics
NPI:1851376859
Name:FIGUEROA, BERNADETTE LAUREL (OTR)
Entity Type:Individual
Prefix:MISS
First Name:BERNADETTE
Middle Name:LAUREL
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 SANTA FE AVE
Mailing Address - Street 2:APT A
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-3051
Mailing Address - Country:US
Mailing Address - Phone:562-234-7316
Mailing Address - Fax:
Practice Address - Street 1:3232 E ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-2811
Practice Address - Country:US
Practice Address - Phone:562-422-9219
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8570225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist