Individual
ANTHONY PHILLIP CARAVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
945 OTAY LAKES RD STE E, CHULA VISTA, CA 91913-3055
(619) 997-4335
Mailing address
945 OTAY LAKES RD STE E, CHULA VISTA, CA 91913-3055
(619) 997-4335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1000171
CA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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