Individual
KRYSTA GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 LAWRENCE ST, CERES, CA 95307-3301
(209) 556-1500
Mailing address
2503 LAWRENCE ST, CERES, CA 95307-3301
(209) 556-1500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23816
CA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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