Individual
BETHANY GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1040 TIERRA DEL REY STE 107, CHULA VISTA, CA 91910-7865
(619) 500-5884
Mailing address
2039 HALLER ST, SAN DIEGO, CA 92104-5363
(774) 929-0535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
04/23/2020
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