Individual
LINDA MAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T., CHT
Contact information
Practice address
1234 ROBINSON AVE APT 5, SAN DIEGO, CA 92103-4400
(619) 795-9515
Mailing address
1234 ROBINSON AVE APT 5, SAN DIEGO, CA 92103-4400
(619) 795-9515
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 416
CA
Other
Enumeration date
04/16/2007
Last updated
07/09/2007
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