Individual
AARON CARL BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1901 W LUGONIA AVE, STE 230, REDLANDS, CA 92374-9703
(909) 557-1600
(909) 557-1732
Mailing address
PO BOX 2252, PALM SPRINGS, CA 92263-2252
(760) 835-5380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13713
CA
Other
Enumeration date
12/10/2014
Last updated
02/19/2015
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