Individual
MRS. KRISTIN DANIELLE MITZENMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
2909A CARLETON ST, SAN DIEGO, CA 92106-2713
(619) 795-7790
Mailing address
5175 ANDREW JACKSON ST, OCEANSIDE, CA 92057-4404
(909) 260-4931
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20957
CA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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