Provider Demographics
NPI:1780966598
Name:WARNER OCCUPATIONAL THERAPY, INC.
Entity type:Organization
Organization Name:WARNER OCCUPATIONAL THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:ERIKA HESSELLUND
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:760-230-1699
Mailing Address - Street 1:2210 ENCINITAS BLVD
Mailing Address - Street 2:STE I
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4358
Mailing Address - Country:US
Mailing Address - Phone:760-230-1699
Mailing Address - Fax:760-230-1983
Practice Address - Street 1:2210 ENCINITAS BLVD
Practice Address - Street 2:STE I
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4358
Practice Address - Country:US
Practice Address - Phone:760-230-1699
Practice Address - Fax:760-230-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT2674174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty