Individual
THERESA GANELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 ADAMS AVE, SAN DIEGO, CA 92116-2429
(619) 315-7339
Mailing address
3415 ADAMS AVE, SAN DIEGO, CA 92116-2429
(619) 315-7339
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2184
CA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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