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NPI Code Detail

MEDICARE: ANDREA BERNAL OTR/L

MEDICARE: ANDREA BERNAL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1093507253
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA BERNAL OTR/L
Provider Business Mailing Address
First Line : 5885 EL CAJON BLVD UNIT 212
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-3757
Country : US
Telephone Number : 619-900-5664
Fax Number :
Provider Business Practice Location Address
First Line : 7525 METROPOLITAN DR STE 308
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4412
Country : US
Telephone Number : 619-692-0622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2025
Last Update Date : 05/21/2025

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Directions to “ ANDREA BERNAL OTR/L” Practice Location

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