Individual
ELIZABETH GRACE SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3731 SIXTH AVE, SUITE 103, SAN DIEGO, CA 92103
(858) 583-4993
Mailing address
3731 SIXTH AVE, SUITE 103, SAN DIEGO, CA 92103
(858) 583-4993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12824
CA
225X00000X
Occupational Therapist
275409
OR
225X00000X
Occupational Therapist
—
OR
Other
Enumeration date
06/09/2010
Last updated
12/10/2012
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