Stanley N Widjaja
ActiveCalifornia license 4547
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 4547
- Status
- Active (Current)
- First issued
- August 30, 2018
- Expired
- October 31, 2026
- License holder
- Stanley N Widjaja
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
8625 Willow Dr
Rancho Cucamonga, CA 91730-4632
Rancho Cucamonga, CA 91730-4632
San Bernardino County