Individual
MICHELLE OLAES EGUICO KUTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3731 6TH AVE, SUITE 100, SAN DIEGO, CA 92103-4383
(619) 278-0884
Mailing address
3731 6TH AVE, SUITE 100, SAN DIEGO, CA 92103-4383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1698
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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