Individual
JOANN H SORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11138 BERRYKNOLL ST, SAN DIEGO, CA 92126-1026
(207) 318-3707
Mailing address
11138 BERRYKNOLL ST, SAN DIEGO, CA 92126-1026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9575
CA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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