Wayne Brian Centra, MOTR/L
Occupational Therapist in Tustin, CA. Individual provider (NPI-1).
NPI number1841582020
StatusActive
Last updated in NPPESApr 20, 2017
Details
- NPI
- 1841582020
- Entity type
- Individual (NPI-1)
- Name
- Wayne Brian Centra
- Credential
- MOTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2011
- Last updated
- Apr 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-5499 | CA | Yes |
Practice location
3002 Dow Ave114
Tustin, CA 92780-7233
Phone 714-731-4668 · Fax 714-464-4668
Mailing address
3002 Dow Ave114
Tustin, CA 92780-7233
Phone 714-731-4668 · Fax 714-464-4668
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