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Kelly Tyler

Occupational Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1982145397
StatusActive
Last updated in NPPESMar 17, 2017

Details

NPI
1982145397
Entity type
Individual (NPI-1)
Name
Kelly Tyler
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2017
Last updated
Mar 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT17193CAYes

Practice location

3760 Convoy St Ste 204
San Diego, CA 92111-3744

Phone 858-514-0375

Mailing address

1086 Quail Gardens Ct
Encinitas, CA 92024-2782

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