Provider Demographics
NPI:1518324623
Name:WALTON-THOEMING, CAMI (OTR/L)
Entity Type:Individual
Prefix:
First Name:CAMI
Middle Name:
Last Name:WALTON-THOEMING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 RUFFIN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1380
Mailing Address - Country:US
Mailing Address - Phone:858-277-2744
Mailing Address - Fax:858-277-3085
Practice Address - Street 1:5575 RUFFIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1380
Practice Address - Country:US
Practice Address - Phone:858-277-2744
Practice Address - Fax:858-277-3085
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15750225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist