Individual
ALYSSA RENEE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7840 MISSION CENTER CT STE 200, SAN DIEGO, CA 92108-1320
(619) 692-0622
Mailing address
5273 COMANCHE TRL, CARMEL, IN 46033-8852
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20387
CA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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