Individual
BRIGITE PRUD'HOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
962 SUNSET FARMS CT, SAINT CHARLES, MO 63304-7013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2007024147
MO
225X00000X
Occupational Therapist
Primary
4834
CA
Other
Enumeration date
10/02/2007
Last updated
03/24/2026
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