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Individual

BETSY ANN AASLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, O.T.R.

Contact information

Practice address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
(949) 366-5665
Mailing address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
(949) 366-5665

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6019
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1025653
NBCOT CERTIFICATION
CA
01
6019
STATE LICENSE NUMBER
CA
Enumeration date
04/02/2007
Last updated
01/10/2012
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