Individual
TED ANDREW FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1221 CROWN ST, REDLANDS, CA 92373-6540
(909) 239-6236
Mailing address
1221 CROWN ST, REDLANDS, CA 92373-6540
(909) 239-6236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
623
CA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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