Individual
GLEN STUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
900 SALEM DR, REDLANDS, CA 92373-6147
(909) 793-1233
Mailing address
900 SALEM DR, REDLANDS, CA 92373-6147
(909) 793-1233
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3479
CA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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