Individual
EMILY ANN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13720 PORTOFINO DR APT D, DEL MAR, CA 92014-3563
(952) 334-6041
Mailing address
13720 PORTOFINO DR APT D, DEL MAR, CA 92014-3563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14577
CA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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