GARY WALLUM

SAN DIEGO, CA
NPI1730427089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA58)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
-- GARY WALLUM COTA/L
3812 PARK BLVD UNIT 104
SAN DIEGO, CA 92103-3679
Phone number: 619-770-8663
Mailing Address
-- GARY WALLUM COTA/L
3812 PARK BLVD UNIT 104
SAN DIEGO, CA 92103-3679
Phone number: 619-770-8663
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