Individual
MRS. WENDY HEATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
9909 MIRA MESA BLVD, STE 120, SAN DIEGO, CA 92131-1056
(858) 693-0436
(858) 693-0437
Mailing address
540 S ANDREASEN DR, STE C, ESCONDIDO, CA 92029-1916
(760) 591-7750
(760) 294-9813
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 6668
CA
Other
Enumeration date
08/20/2007
Last updated
12/15/2011
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