Individual
GABRIELLE KRUISHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5696 LAKE MURRAY BLVD, LA MESA, CA 91942-1929
(619) 460-7871
Mailing address
5696 LAKE MURRAY BLVD, LA MESA, CA 91942-1929
(619) 460-7871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4047
CA
Other
Enumeration date
02/01/2023
Last updated
02/03/2023
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