Most Relevant Information
Provider Data
| NPI Number: | 1003407594 |
| Provider Name: | JAMIE E WAHL OTD, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT21890 |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
235 MARKET ST UNIT 210
SAN DIEGO
CA
921016767
Practice Location Phone/Fax
| Phone: | 3037102520 |
| Fax: |
Provider Mailing Location
235 MARKET ST UNIT 210
SAN DIEGO
CA
921016767
Provider Mailing Phone/Fax
| Phone: | 3037102520 |
| Fax: |