Andrew Melbon Gultom in Banning - Occupational Therapy Assistant
Andrew Melbon Gultom - NPI 1518159409
Andrew Melbon Gultom is a Occupational Therapy Assistant in Banning, California. Andrew Melbon Gultom practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Andrew Melbon Gultom is 1518159409. The last update date is 2007-08-14.
Andrew Melbon Gultom's current location address is 1065 Driftwood Cir, Banning, California. You can contact this provider via phone number 9098566625 and fax number 8777999128. The mailing address for Andrew Melbon Gultom is 1065 Driftwood Cir, Banning, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Melbon Gultom |
|---|---|
| Address | 1065 Driftwood Cir, Banning, California |
| Phone Number | 9098566625 |
| Fax Number | 8777999128 |
| Sole Proprietor | Y |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1518159409 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 1065 Driftwood Cir |
|---|---|
| City | Banning |
| State | California (CA) |
| Post Code | 922206321 |
| Phone Number | 9098566625 |
| Fax Number | 8777999128 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 1013 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andrew Melbon Gultom by the Centers for Medicare & Medicaid Services?
The Andrew Melbon Gultom has been issued the NPI (National Provider Identifier) 1518159409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Andrew Melbon Gultom is geographically located?
The Andrew Melbon Gultom is physically situated at the following location: 1065 Driftwood Cir, Banning, CA, 922206321.
What is the Andrew Melbon Gultom's specialty and taxonomy code?
The Andrew Melbon Gultom's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518159409 to Andrew Melbon Gultom?
The Centers for Medicare & Medicaid Services assigned the 1518159409 to Andrew Melbon Gultom on 2007-08-14.
When was the Andrew Melbon Gultom's information last updated?
The Andrew Melbon Gultom's information was last updated on 2007-08-14.