Organization
SOCAL HAND THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA S WITUCKI OTR/L CHT (OWNER, CLINICAL DIRECTOR)
(619) 851-2530
Entity
Organization
Contact information
Practice address
1965 5TH AVE, SAN DIEGO, CA 92101-2300
(619) 851-6072
(619) 241-2992
Mailing address
1965 5TH AVE, SAN DIEGO, CA 92101-2300
(619) 851-6072
(619) 241-2992
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT 3375
CA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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