Individual
MATTHEW ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16182 MELODY LN, HUNTINGTON BEACH, CA 92649-2355
(714) 624-1472
Mailing address
16182 MELODY LN, HUNTINGTON BEACH, CA 92649-2355
(714) 624-1472
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-007596
AZ
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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