Individual
JOANNA GOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
17075 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-2836
(714) 964-9277
Mailing address
21610 ORRICK AVE UNIT 3, CARSON, CA 90745-2040
(562) 472-7470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17970
CA
Other
Enumeration date
01/11/2018
Last updated
09/11/2022
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