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Individual

MANDY RAE REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
Mailing address
870 AVENIDA ACAPULCO, SAN CLEMENTE, CA 92672-2405
(949) 388-0614

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3877
CA

Other

Enumeration date
07/27/2009
Last updated
07/27/2009
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