Individual
DONNA AHDOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1025 TURQUOISE ST APT 1, SAN DIEGO, CA 92109-1261
(310) 612-2112
Mailing address
1025 TURQUOISE ST APT 1, SAN DIEGO, CA 92109-1261
(310) 612-2112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9664
—
CA
Enumeration date
08/04/2014
Last updated
08/04/2014
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