Individual
MRS. KAYLIE HEATHER WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,OTR/L
Contact information
Practice address
551 HYGEIA AVE, #A, ENCINITAS, CA 92024-2669
(760) 519-7365
Mailing address
551 HYGEIA AVE, #A, ENCINITAS, CA 92024-2669
(760) 519-7365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
09-0077
NV
225X00000X
Occupational Therapist
Primary
1125
CA
Other
Enumeration date
09/16/2006
Last updated
04/20/2010
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