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1366572315
TARA CICCHELLI
SAN DIEGO, CA
NPI
1366572315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT 2319)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mrs. TARA CICCHELLI OTR
6991 BALBOA AVE
SAN DIEGO, CA 92111-3447
Phone number: 858-496-8232
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Mailing Address
Mrs. TARA CICCHELLI OTR
6991 BALBOA AVE
SAN DIEGO, CA 92111-3447
Phone number:
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