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

Shelly Mourning

Individual provider Pediatric Occupational Therapist · NPI 1518390855

Shelly Mourning is a Pediatric Occupational Therapist in San Diego, California. Licensed in California and Rhode Island. Registered with an NPI since 2013.

Licensed in
CA, RI
In the registry since
2013
Specialties on file
2

Practice location Address checks out

13117 Entreken Ave
San Diego, CA 92129-2303
Phone: (303) 882-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT01365 (RI)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 11176 (CA)

Record details

NPI number1518390855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2013
Last updated in NPPESMay 4, 2015

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