Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Moise Etienne, BS

Individual provider Occupational Therapist · NPI 1013230630

Mr. Moise Etienne, BS is an Occupational Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1450 Frazee Rd Ste 306
San Diego, CA 92108-4337
Phone: (877) 775-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 9962 (CA)

Record details

NPI number1013230630
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 10, 2010

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