Individual
CIARA MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7632 HERSCHEL AVE, LA JOLLA, CA 92037-4403
(858) 459-7768
Mailing address
10768 VALOR PL, SANTEE, CA 92071-5001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 3327
CA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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