Individual
GAYE DENISE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS,OTR/L
Contact information
Practice address
726 TORREY PINES PL, OCEANSIDE, CA 92058-1660
(760) 429-5373
Mailing address
726 TORREY PINES PL, OCEANSIDE, CA 92058-1660
(760) 429-5373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7632
CA
225XG0600X
Gerontology Occupational Therapist
OT7632
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT7632
CA
225XP0200X
Pediatric Occupational Therapist
OT7632
CA
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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