Individual
ALEXANDRA J GRANZOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
(858) 266-5000
Mailing address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21228
CALIFORNIA BOARD OT OCCUPATIONAL THERAPY
CA
01
—
432844
AMERICAN OCCUPATIONAL THERAPY ASSOCIATION
—
Enumeration date
09/17/2020
Last updated
12/01/2021
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