| Matthew Lawantoro, | |
|
12000 Mount Vernon Ave, Grand Terrace, CA 92313-5174 | |
| (909) 825-5221 | |
| Not Available |
| Full Name | Matthew Lawantoro |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 12000 Mount Vernon Ave, Grand Terrace, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073020210 | NPI | - | NPPES |
| 15625 | Other | CA | BOARD OF OCCUPATIONAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 15625 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Lawantoro, 26358 Saint David St, Loma Linda, CA 92354-4178 Ph: (909) 796-5258 | Matthew Lawantoro, 12000 Mount Vernon Ave, Grand Terrace, CA 92313-5174 Ph: (909) 825-5221 |
Erica Choi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 110, Grand Terrace, CA 92313 Phone: 909-370-3396 Fax: 909-783-4288 | |
Applied Therapy Solutions, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 22908 Wren St, Grand Terrace, CA 92313 Phone: 800-644-2966 Fax: 909-363-8574 | |
Alvin Obmana Llamas, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313 Phone: 909-370-3396 |