Individual
MATTHEW STANSBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1045 W REDONDO BEACH BLVD, GARDENA, CA 90247-4128
(310) 553-2695
Mailing address
3480 GARNET ST APT 204, TORRANCE, CA 90503-3675
(818) 618-1731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5666
CA
Other
Enumeration date
03/29/2023
Last updated
03/30/2023
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