Individual
DEBORAH J MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
4566 VIA MARIANO, NEWBURY PARK, CA 91320-6962
(805) 291-1479
Mailing address
PO BOX 1471, AGOURA, CA 91376-1471
(805) 291-1479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3367
CA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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