Individual
BRUCE GERSTENKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
14900 EL CAMINO REAL, ATASCADERO, CA 93422-6417
(805) 466-0282
Mailing address
564 ROSEMARY LN, ARROYO GRANDE, CA 93420-1438
(805) 474-1274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4987
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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