Provider Demographics
NPI:1053373282
Name:HILL, WENDY L (OTL,CHT)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:OTL,CHT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:H
Other - Last Name:MCNAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTL,CHT
Mailing Address - Street 1:4758 APPLETON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2037
Mailing Address - Country:US
Mailing Address - Phone:619-667-7000
Mailing Address - Fax:619-667-4315
Practice Address - Street 1:5360 JACKSON DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3012
Practice Address - Country:US
Practice Address - Phone:619-667-7000
Practice Address - Fax:619-667-4315
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT32225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOT32FMedicare PIN
WOT32DMedicare ID - Type Unspecified
WOT32EMedicare ID - Type Unspecified