NPI 1073255535

Gwendalyne Marie Henson Gubatan, COTAL

Practitioner Occupational Therapy Assistant Los Angeles, CA

Practice location

Address: 3031 Beverly Blvd STE B, Los Angeles, CA 90057-1013
Phone: (323) 644-9380
Mailing address: 316 N Burlington Ave, Los Angeles, CA 90026-4941

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1073255535
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 13 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.