MRS. Eden R Nullar, COTA
NPI #1548650203 in Lakeside, California
Provider Information
- NPI Number
- 1548650203
- Entity Type
- Individual
- Name
- MRS. Eden R Nullar, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
- Address
- 9609 PROSPECT AVE
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-4111
- Phone
- (619) 840-8859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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