Individual
ALYSSA LYNN DAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8515 COSTA VERDE BLVD, SAN DIEGO, CA 92122-1130
(888) 674-4036
Mailing address
7045 CHARMANT DR APT 164, SAN DIEGO, CA 92122-4373
(516) 316-5106
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT18211
CA
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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