MR. Edward De Guzman Domantay

NPI #1013125863 in Alameda, California

Provider Information

NPI Number: 1013125863
Entity Type: Individual
Name: MR. Edward De Guzman Domantay
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1114 WILLOW ST
Address 2: B
City: Alameda
State: California
ZIP Code: 94501-4374
Phone: (510) 864-0763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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