Individual
MRS. PAMELA NIEDZWIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5 KEMPTON LN, LADERA RANCH, CA 92694-0226
(424) 245-9660
Mailing address
5 KEMPTON LN, LADERA RANCH, CA 92694-0226
(424) 245-9660
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
22945
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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