ANITA M BOONSTRA

MODESTO, CA
NPI1457714743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  12032)
Enumeration Date2016-04-04
Last Update Date2016-04-04
Business Address
-- ANITA M BOONSTRA OT
1917 COFFEE ROAD
MODESTO, CA 95355-2704
Phone number: 209-549-4626
Mailing Address
-- ANITA M BOONSTRA OT
1917 COFFEE ROAD
MODESTO, CA 95355-2704
Phone number: 209-549-4626