Individual
TRISHELL DAWN GORCZYCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1609 E MADISON AVE, EL CAJON, CA 92019-1046
(619) 588-3166
Mailing address
12538 CAMINITO MIRA DEL MAR, SAN DIEGO, CA 92130-2386
(916) 365-3015
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8019
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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