Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT32 | CA |
NPI | 1053373282 |
---|---|
Provider Name | Ms. Wendy L. Hill |
First Address | San Diego, CA 92117-2037 |
Second Address | La Mesa, CA 91942-3012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 14/12/2012 |