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Individual

ALYSSA CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
(858) 505-9083
Mailing address
2519 OLD QUARRY RD APT 1228, SAN DIEGO, CA 92108-2757
(209) 777-9496

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871655225
PRIVATE INSURANCE
CA
Enumeration date
11/03/2021
Last updated
10/24/2022
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