Individual
MR. EDWIN ADAJAR FONTEJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
800 SERENO DR RM 288, VALLEJO, CA 94589-2411
(707) 651-4173
Mailing address
2375 MARTINEZ CT, PINOLE, CA 94564-1160
(510) 672-4414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2548
CA
Other
Enumeration date
04/03/2007
Last updated
11/26/2021
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