Individual
REBECCA VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4420 37TH ST, SAN DIEGO, CA 92116-4601
(619) 578-1974
Mailing address
4420 37TH ST., SAN DIEGO, CA 92116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1406
CA
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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