Individual provider · Type 1 NPI

Edward Halomoan Siahaan, CTRS

Recreation Therapist · Riverside, CA

NPI number 1205771086 Active

Practice location

3933 Harrison St
Riverside, CA 92503-3523

Call (833) 391-0505 Map

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XCTRS32156 (CA)

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1205771086

Edward Halomoan Siahaan, CTRS's National Provider Identifier is 1205771086, issued on Apr 20, 2026. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Riverside, CA. The record was last updated on Apr 20, 2026.