Individual
KERRY LYNN BOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9606 TIERRA GRANDE ST, SUITE 104, SAN DIEGO, CA 92126-6501
(858) 695-9444
Mailing address
9606 TIERRA GRANDE ST, SUITE 104, SAN DIEGO, CA 92126-6501
(858) 695-9444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8245
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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