Individual
KELSEY AMANDA QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(858) 514-0375
(858) 514-0383
Mailing address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
19394
CA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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