Individual
KELLY DANICA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13223 BLACK MOUNTAIN RD # 1358, SAN DIEGO, CA 92129-2698
(858) 753-5082
Mailing address
13223 BLACK MOUNTAIN RD # 1358, SAN DIEGO, CA 92129-2698
(858) 753-5082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20947
CA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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