Individual
KRYSTELL NOELI GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L/COTA
Contact information
Practice address
18270 SISKIYOU RD STE B, APPLE VALLEY, CA 92307-1413
(760) 991-3020
Mailing address
16690 MENAHKA RD, APPLE VALLEY, CA 92307-1472
(951) 892-2613
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7537
CA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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