Individual
ALEXANDRA MOUANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3078 BROADWAY UNIT 203, SAN DIEGO, CA 92102-2348
(763) 226-1407
Mailing address
3078 BROADWAY UNIT 203, SAN DIEGO, CA 92102-2348
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
25656
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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