Individual provider · Type 1 NPI

Wannaporn Vudhichamnong, P.T.

Developmental Therapist · San Diego, CA

NPI number 1669666384 Active

Practice location

7510 Charmant Dr Apt 727
San Diego, CA 92122-5027

Call (512) 461-6890 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1669666384

Wannaporn Vudhichamnong, P.T.'s National Provider Identifier is 1669666384, issued on Sep 6, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 6, 2007.