EDWIN GULTOM, COTA
Occupational Therapy at Green Tree Blvd, Victorville, CA

License number
California 2010
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address 2
16890 Green Tree Blvd, Victorville, CA 92395
906 Kensington Dr, Redlands, CA 92374
Phone
(760) 245-5361
(909) 255-1223
National Provider ID: 1316256084
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about EDWIN GULTOM at radaris.com
Name
Address
Phone
Edwin O Gultom, age 55
1219 Larkspur Ln, Beaumont, CA 92223
(951) 769-0451

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