Individual
PATRICK PUNZALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1020 TERMINO AVE, LONG BEACH, CA 90804-4123
(562) 433-6791
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6797
CA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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