Individual
MICHAEL ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
13748 COMUNA DR, POWAY, CA 92064-4639
(619) 846-2603
Mailing address
13748 COMUNA DR, POWAY, CA 92064-4639
(619) 846-2603
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2187
CA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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