MICHAEL RAYMOND DALSTROM

CITRUS HEIGHTS, CA
NPI1043867252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  17248)
Enumeration Date2019-08-22
Last Update Date2019-08-22
Business Address
MICHAEL RAYMOND DALSTROM OTR/L
7807 UPLANDS WAY
CITRUS HEIGHTS, CA 95610-7500
Phone number: 916-967-2929
Mailing Address
MICHAEL RAYMOND DALSTROM OTR/L
1332 KINGSFORD DR
CARMICHAEL, CA 95608-6133
Phone number: 201-835-5384