Individual
MRS. LIZETH GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
27720 JEFFERSON AVE STE 120, TEMECULA, CA 92590-2609
(951) 587-6973
Mailing address
27720 JEFFERSON AVE STE 120, TEMECULA, CA 92590-2609
(951) 587-6973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5671
CA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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