Individual
CRYSTAL JOY SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
690 OTAY LAKES RD STE 110, CHULA VISTA, CA 91910-8904
(619) 475-6911
Mailing address
5762 OLVERA AVE, SAN DIEGO, CA 92114-5430
(619) 917-5929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5012
CA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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