Organization
ARCTIC CIRCLE OCCUPATIONAL THERAPY
Active
Organization
ARCTIC CIRCLE OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA-RENEE WHALEN OTD, OTR/L (CLINIC DIRECTOR)
(619) 537-6117
Entity
Organization
Contact information
Practice address
1224 10TH ST STE 201, CORONADO, CA 92118-3420
(619) 537-6117
Mailing address
1224 10TH ST STE 201, CORONADO, CA 92118-3420
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11769
CA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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