Individual
MR. GARRISON RONALD GOERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
25145 STARR ST, LOMA LINDA, CA 92354-2961
(559) 859-4531
Mailing address
25145 STARR ST, LOMA LINDA, CA 92354-2961
(559) 859-4531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12413
CA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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