WAYNE BRIAN CENTRA

TUSTIN, CA
NPI1841582020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT-5499)
Enumeration Date2011-05-06
Last Update Date2017-04-20
Business Address
-- WAYNE BRIAN CENTRA MOTR/L
3002 DOW AVE 114
TUSTIN, CA 92780-7233
Phone number: 714-731-4668
Mailing Address
-- WAYNE BRIAN CENTRA MOTR/L
3002 DOW AVE 114
TUSTIN, CA 92780-7233
Phone number: 714-731-4668
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