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Individual

DANIELLE CARBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16411
CA

Other

Enumeration date
08/19/2016
Last updated
03/27/2026
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