Individual
BOBBY WOODCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 KALMUS DR, COSTA MESA, CA 92626-5922
(714) 966-4000
Mailing address
200 KALMUS DR, COSTA MESA, CA 92626-5922
(714) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225X00000X
Occupational Therapist
Primary
25214
CA
Other
Enumeration date
12/02/2014
Last updated
05/13/2026
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