Individual
JUSTIN MATTHEW AMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9337 MARSHALL ST, ROSEMEAD, CA 91770-2028
(626) 475-8680
Mailing address
9337 MARSHALL ST, ROSEMEAD, CA 91770-2028
(626) 475-8680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
462171
CA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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