Most Relevant Information
Provider Data
| NPI Number: | 1003258039 |
| Provider Name: | MIKAELA ANN TAHERI MOTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 13394 |
Most Important Dates
| Enumeration Date: | 07/18/2013 |
| Last Updated: | 06/02/2016 |
Provider Practice Location
456 E GRAND AVE
ESCONDIDO
CA
920253319
Practice Location Phone/Fax
| Phone: | 7607406301 |
| Fax: |
Provider Mailing Location
4945 HAIGHT TRL
SAN DIEGO
CA
921236427
Provider Mailing Phone/Fax
| Phone: | 4253272787 |
| Fax: |