Individual
VIVIAN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 657-7990
Mailing address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
19730
CA
Other
Enumeration date
03/20/2020
Last updated
03/23/2020
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