Individual
MRS. MARJORIE P. BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9606 TIERRA GRANDE ST, SUITE # 107, SAN DIEGO, CA 92126-6501
(619) 922-6480
(866) 695-4997
Mailing address
1069 SANTA BARBARA ST., SAN DIEGO, CA 92107
(619) 922-6480
(866) 695-4997
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 5033
CA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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