Individual
CYNTHIA IWANICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
941 CROCUS CIR, COSTA MESA, CA 92626-1708
(714) 334-9788
Mailing address
69472 SERENITY RD, CATHEDRAL CITY, CA 92234-7921
(714) 334-9788
(866) 225-9947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2523
CA
Other
Enumeration date
01/16/2015
Last updated
03/03/2016
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