Individual
KAITLYN FIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
(858) 673-5434
Mailing address
11838 BERNARDO PLAZA COURT, SUITE 110, SAN DIEGO, CA 92128
(973) 714-4164
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14580
CA
Other
Enumeration date
04/02/2014
Last updated
03/01/2016
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