LAURA REBECCA PENDERGAST JOHNSON

SAN DIEGO, CA
NPI1750813077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence:   17249)
Enumeration Date2017-03-28
Last Update Date2021-11-16
Business Address
LAURA REBECCA PENDERGAST JOHNSON OTR/L
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2300
Mailing Address
LAURA REBECCA PENDERGAST JOHNSON OTR/L
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: