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Individual

KELLY TWICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9606 TIERRA GRANDE ST STE 104, SAN DIEGO, CA 92126-6501
(858) 695-9444
Mailing address
1459 HORNBLEND ST APT 2, SAN DIEGO, CA 92109-4318

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18022
CA

Other

Enumeration date
10/14/2017
Last updated
10/14/2017
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