Edward De Guzman Domantay
Occupational Therapist in Alameda, CA. Individual provider (NPI-1).
NPI number1013125863
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013125863
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward De Guzman Domantay
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT8381 | CA | Yes |
Practice location
1114 Willow StB
Alameda, CA 94501-4374
Phone 510-864-0763
Mailing address
1114 Willow StB
Alameda, CA 94501-4374
Phone 510-864-0763
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All 26 Occupational Therapist providers in Alameda · All 2,839 providers in Alameda
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