Individual
MR. JOSEPH PETER ETIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
19366 BRIDGEWATER LN, RIVERSIDE, CA 92508-6266
(951) 789-6923
(951) 789-6923
Mailing address
19366 BRIDGEWATER LN, RIVERSIDE, CA 92508-6266
(951) 789-6923
(951) 789-6923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 3356
CA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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