Individual
MARILYN J LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Mailing address
PO BOX 1004, JOSHUA TREE, CA 92252-0809
(760) 366-2444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA169
CA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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