person
Muchaneta Maduke, OTR,CHT
Hand Occupational Therapist in La Mesa, California
NPI 1619099090

Muchaneta Maduke is a Hand Occupational Therapist based in La Mesa, CA and is specialized in Hand. Muchaneta Maduke practices in La Mesa, CA and has the professional credentials of OTR,CHT. The NPI Number for Muchaneta Maduke is 1619099090 and holds a License No. 4565 (California).

The current practice location address for Muchaneta Maduke is 5360 Jackson Dr Ste 110, La Mesa, CA and can be reached out via phone at 619-667-7000 and via fax at 619-667-4315.

Location: 5360 Jackson Dr Ste 110, La Mesa, CA, 91942-3012
person
Provider Profile Details
NPI Number
1619099090
Provider Name
Muchaneta Maduke
Credential
OTR,CHT
Provider Entity Type
Individual
Gender
Female
Address
5360 Jackson Dr Ste 110, La Mesa, CA, 91942-3012
Phone Number
619-667-7000
Fax Number
619-667-4315
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023103330 01 CA NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
5360 Jackson Dr Ste 110
City
State
Zip
91942-3012
Phone Number
619-667-7000
Fax Number
619-667-4315
person
Provider Business Mailing Address Details
Address
5360 Jackson Dr Ste 110
City
State
Zip
91942-3012
Phone Number
619-667-7000
Fax Number
619-667-4315
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
4565 (California)
Definition
Definition to come...
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