Whalio Doctors

NPI 1003066788

Kristen M Manecke, OT

Practitioner Occupational Therapist La Jolla, CA

Practice location

Address
4130 La Jolla Village Dr STE 103, La Jolla, CA 92037-9121
Phone
(858) 455-8584
Fax
(858) 455-7302

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 2537 (CA)

Registry record

NPI
1003066788
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Sep 2008
Record last updated
3 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.