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Individual

KESHINI NAMASIVAYAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3591 SARAH ANN DR, FALLBROOK, CA 92028-9052
(365) 292-0835
Mailing address
3591 SARAH ANN DR, FALLBROOK, CA 92028-9052

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25418
CA

Other

Enumeration date
12/18/2024
Last updated
12/20/2024
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