Individual
TERESA ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4655 RUFFNER ST STE 270, SAN DIEGO, CA 92111-2276
(800) 787-6787
Mailing address
26037 MATLIN RD, RAMONA, CA 92065-4837
(858) 763-0360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1179
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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