MARVIN IRA GREEN

TWENTYNINE PALMS, CA
NPI1053467035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA552)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Mr. MARVIN IRA GREEN COTA
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277-2356
Phone number: 760-367-1743
Mailing Address
Mr. MARVIN IRA GREEN COTA
PO BOX 34 5462 ROY ROGERS ROAD
PIONEERTOWN, CA 92268-0034
Phone number:
Similar providers in Twentynine Palms, CA
MARILYN J LANTZ
LAUREL JEANNE BERTINI
BRIANNE DELA CRUZ ILABAN
SARAH DANSER