SearchCalifornia225X00000X

Dax Ganzon, OT R/L

NPI 1043637986 · on the registry since 2014 · sole proprietor

Practice

Address
8421 Starlily Ct
Elk Grove, CA 95758
Phone
(310) 346-2529

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225XG0600X
225XM0800X
225XN1300X
225XP0019X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California