Individual
MR. EDWARD PAUL GUMP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
29377 RANCHO CALIFORNIA RD STE 102, TEMECULA, CA 92591-5206
(951) 552-1126
Mailing address
29377 RANCHO CALIFORNIA RD STE 102, TEMECULA, CA 92591-5206
(951) 552-1126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8137
CA
Other
Enumeration date
08/15/2013
Last updated
08/16/2013
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