Individual
IAN CHWEN HSIEN GOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3130 BONITA RD, STE 100, CHULA VISTA, CA 91910-3263
(619) 585-7104
(619) 585-7106
Mailing address
8550 COSTA VERDE BLVD, APT 5418, SAN DIEGO, CA 92122-1177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9271
CA
225XE1200X
Ergonomics Occupational Therapist
OT9271
CA
225XH1200X
Hand Occupational Therapist
OT9271
CA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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