Matthew Lawantoro
NPI #1073020210 in Grand Terrace, California
Provider Information
- NPI Number
- 1073020210
- Entity Type
- Individual
- Name
- Matthew Lawantoro
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 9, 2018
- Last Updated
- Jan 9, 2018
Practice Location
- Address
- 12000 MOUNT VERNON AVE
- City
- Grand Terrace
- State
- California
- ZIP Code
- 92313-5174
- Phone
- (909) 825-5221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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