Individual
MR. ARLIE B HAVILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
72201 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4001
(760) 340-5999
Mailing address
37281 WILDWOOD VIEW DR, YUCAIPA, CA 92399-9537
(909) 790-9599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2309
CA
225XH1200X
Hand Occupational Therapist
OT2309
CA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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