Organization
SCHOOL OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN VINCENEUX OT (CLINIC DIRECTOR)
(858) 268-8585
Entity
Organization
Contact information
Practice address
8333 CLAIREMONT MESA BLVD, SUITE 203, SAN DIEGO, CA 92111-1318
(858) 268-8585
(858) 268-5729
Mailing address
8333 CLAIREMONT MESA BLVD, SUITE 203, SAN DIEGO, CA 92111-1318
(858) 268-8585
(858) 268-5729
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OT 6687
CA
Other
Enumeration date
06/08/2007
Last updated
01/24/2008
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