Andrew Melbon Gultom
ActiveCalifornia license 1013
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 1013
- Status
- Active (Current)
- First issued
- January 14, 2003
- Expires
- February 28, 2027
- License holder
- Andrew Melbon Gultom
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
1065 Driftwood Cr
Banning, CA 92220
Banning, CA 92220
Riverside County