MR. Moise Etienne, BS

NPI #1013230630 in San Diego, California

Provider Information

NPI Number: 1013230630
Entity Type: Individual
Name: MR. Moise Etienne, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: BS
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 1450 FRAZEE RD
Address 2: SUITE 306
City: San Diego
State: California
ZIP Code: 92108-4337
Phone: (877) 775-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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