Individual
ABBIE GAIL HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
72201 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4001
(760) 340-5999
Mailing address
4927 RUETTE DE MER, SAN DIEGO, CA 92130-2866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1603
CA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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