Mr. Andrew Melbon Gultom, COTA
Mr. Andrew Melbon Gultom, COTA is an Occupational Therapy Assistant in Banning, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- COTA — Certified Occupational Therapy Assistant
- Delivers treatment under an occupational therapist's direction.
Practice location Address checks out
1065 Driftwood CirBanning, CA 92220-6321
Phone: (909) 856-6625
Fax: (877) 799-9128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 1013 (CA) |
|---|
Record details
| NPI number | 1518159409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | COTA |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2007 |
| Last updated in NPPES | August 14, 2007 |