Individual
MR. ALEXANDER BRUCE MACGREGOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11053 SAN JUAN ST APT B, LOMA LINDA, CA 92354-2778
(818) 933-1318
Mailing address
11053 SAN JUAN ST APT B, LOMA LINDA, CA 92354-2778
(818) 933-1318
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT16540
CA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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