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Organization

PINE PEDIATRIC THERAPY, PC

Active
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Organization

PINE PEDIATRIC THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA LEE (CEO)
(619) 928-2154
Entity
Organization

Contact information

Practice address
9932 KIKA CT APT 3212, SAN DIEGO, CA 92129-5057
(619) 928-2154
Mailing address
9932 KIKA CT APT 3212, SAN DIEGO, CA 92129-5057

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
07/07/2025
Last updated
05/22/2026
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