Individual
CHRISTIANA LAUREN ESELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4970
CA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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