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Individual

BI HUYNH IDICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
15720 BERNARDO CENTER DR, SAN DIEGO, CA 92127-5861
(858) 672-3900
Mailing address
9745 MESA SPRINGS WAY UNIT 138, SAN DIEGO, CA 92126-4126
(562) 506-5713

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16675
CA

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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