Individual
KEVIN QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L
Contact information
Practice address
7160 FAY AVE, LA JOLLA, CA 92037-5511
(858) 459-4361
Mailing address
7160 FAY AVE, LA JOLLA, CA 92037-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16757
CA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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