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Individual

TERI BRISLIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA OTR/L

Contact information

Practice address
11665 AVENA PL, SUITE 106, SAN DIEGO, CA 92128-2421
(858) 673-5437
Mailing address
11895 ARBORLAKE WAY, SAN DIEGO, CA 92131-2608
(858) 547-0906

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 1853
CA

Other

Enumeration date
05/06/2006
Last updated
07/08/2007
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