Matthew Stansbery, COTA/L
Occupational Therapy Assistant in Gardena, CA. Individual provider (NPI-1).
NPI number1508560897
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1508560897
- Entity type
- Individual (NPI-1)
- Name
- Matthew Stansbery
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5666 | CA | Yes |
Practice location
1045 W Redondo Beach BlvdGardena, CA 90247-4128
Phone 310-553-2695
Mailing address
3480 Garnet St Apt 204Torrance, CA 90503-3675
Phone 818-618-1731
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All 11 Occupational Therapy Assistant providers in Gardena · All 5,199 providers in Gardena
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