Most Relevant Information
Provider Data
| NPI Number: | 1003452863 |
| Provider Name: | GELBERT G DE GUZMAN OTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 3353 |
Most Important Dates
| Enumeration Date: | 11/26/2019 |
| Last Updated: | 04/14/2020 |
Provider Practice Location
16260 VENTURA BLVD
ENCINO
CA
914362203
Practice Location Phone/Fax
| Phone: | 8189861977 |
| Fax: |
Provider Mailing Location
16260 VENTURA BLVD
ENCINO
CA
914362203
Provider Mailing Phone/Fax
| Phone: | 8189861977 |
| Fax: |