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1609824580
MELISSA LEE DIETRICH
SAN DIEGO, CA
NPI
1609824580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 7804)
Enumeration Date
2006-05-04
Last Update Date
2012-10-25
Business Address
-- MELISSA LEE DIETRICH MOT, OTR/L
11665 AVENA PLACE SUITE 106
SAN DIEGO, CA 92128
Phone number: 858-673-5437
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Mailing Address
-- MELISSA LEE DIETRICH MOT, OTR/L
1494 UNION ST UNIT 503
SAN DIEGO, CA 92101-3447
Phone number: 619-316-8739
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