Healthcare Provider Details

I. General information

NPI: 1871807743
Provider Name (Legal Business Name): GAIL SKOGLUND OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13281 GUNNER AVE
SAN DIEGO CA
92129-2318
US

IV. Provider business mailing address

13281 GUNNER AVE
SAN DIEGO CA
92129-2318
US

V. Phone/Fax

Practice location:
  • Phone: 858-484-4599
  • Fax:
Mailing address:
  • Phone: 858-484-4599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: