Individual
ADAM NICOLAS UTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7850 MISSION CENTER CT, SAN DIEGO, CA 92108-1322
(619) 578-2232
(619) 578-2231
Mailing address
1574 VILLAGE VIEW RD, ENCINITAS, CA 92024-5606
(760) 505-4313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3411
CA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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