Individual
GREG DOLMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12490 W FIELDING CIR APT 174, PLAYA VISTA, CA 90094-3024
(424) 216-7239
Mailing address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(818) 942-2284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24089
CA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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