Individual
MS. HALIE SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12250 EL CAMINO REAL STE 250, SAN DIEGO, CA 92130
(858) 793-1460
Mailing address
12250 EL CAMINO REAL STE 250, SAN DIEGO, CA 92130-2226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105102
MN
225XH1200X
Hand Occupational Therapist
Primary
OT19430
—
Other
Enumeration date
09/19/2016
Last updated
04/08/2021
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