Individual
MARYAH NICOLE PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13101 HARTFIELD AVE, SAN DIEGO, CA 92130-1511
(858) 259-2222
Mailing address
12747 SUNDANCE AVE, SAN DIEGO, CA 92129-2215
(818) 741-8708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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