Individual
MR. CAREY JAMISON BORNHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
24242 LA CRESTA DR, DANA POINT, CA 92629-2561
(949) 496-3363
Mailing address
24242 LA CRESTA DR, DANA POINT, CA 92629-2561
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1359
CA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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