SHELLY MOURNING

SAN DIEGO, CA
NPI1518390855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist Pediatrics
(Licence: RI  OT01365)
Additional Taxonomies225XP0200X Occupational Therapist Pediatrics
(Licence: CA  11176)
Enumeration Date2013-08-09
Last Update Date2015-05-04
Business Address
SHELLY MOURNING
13117 ENTREKEN AVE
SAN DIEGO, CA 92129-2303
Phone number: 303-882-7698
Mailing Address
SHELLY MOURNING
13117 ENTREKEN AVE
SAN DIEGO, CA 92129-2303
Phone number: 303-882-7698