Individual
MATTHEW SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
(626) 285-3131
Mailing address
126 N SAN GABRIEL BLVD, SAN GABRIEL, CA 91775-2427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1130
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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