Individual
GELBERT G DE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
(818) 986-1977
Mailing address
16260 VENTURA BLVD, ENCINO, CA 91436-2203
(818) 986-1977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3353
CA
Other
Enumeration date
11/26/2019
Last updated
04/14/2020
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