Individual
KESTREL SUZANNE WOOD HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
(949) 366-5665
Mailing address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
(949) 366-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0TA1912
CA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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