NPI 1003066788
Kristen M Manecke, OT
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
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.