Individual
MRS. ANGELA MICHELLE HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5829
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11984
CA
225X00000X
Occupational Therapist
3331
AZ
Other
Enumeration date
02/26/2007
Last updated
01/11/2019
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