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Contact Information

MELISSA L DIETRICH, MOT, OTR/L
11665 AVENA PLACE
SUITE 106
SAN DIEGO, CA92128
 Phone: 858-673-5437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MELISSA L DIETRICH · (Female)

NPI # 1609824580
Status Active
Credentials MOT, OTR/L
Entity Individual
Enumeration date 05/04/2006
Last updated 10/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 7804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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