Individual
MR. DAVID KRAFT MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9 BOISE, IRVINE, CA 92604-1907
(949) 929-4036
Mailing address
9 BOISE, IRVINE, CA 92604-1907
(949) 929-4036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA 1209
CA
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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