Individual
TIA ANNUNZIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6264 FERRIS SQ, SAN DIEGO, CA 92121-3204
(619) 940-4128
Mailing address
2 ROSE LN, STONEHAM, MA 02180-2112
(781) 219-8430
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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