Individual
MISS JORIE ELAINE MADDERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NHA, OTA/L
Contact information
Practice address
8515 COSTA VERDE BLVD, SAN DIEGO, CA 92122-1130
(888) 674-4036
Mailing address
10121 VIA RITA, SANTEE, CA 92071-1653
(209) 380-7825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
574
CA
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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