Individual
BEVERLY DOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1040 TIERRA DEL REY STE 107, CHULA VISTA, CA 91910-7865
(619) 500-5884
Mailing address
4302 PAVLOV AVE, SAN DIEGO, CA 92122-3710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21599
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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