Individual
ELIZABETH GERTA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
9191 TOWNE CENTRE DR STE 105, SAN DIEGO, CA 92122-1227
(858) 554-3711
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4494
CA
Other
Enumeration date
10/28/2019
Last updated
05/23/2022
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