Individual
ALICE ANN NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
2585 JOAN LN, FALLBROOK, CA 92028-9641
(760) 731-0580
Mailing address
2585 JOAN LN, FALLBROOK, CA 92028-9641
(760) 731-0580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10892
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
04/05/2011
Last updated
04/05/2011
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