Individual
JACKLYN DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
(951) 688-3636
Mailing address
4195 CHINO HILLS PKWY # 421, CHINO HILLS, CA 91709-2618
Taxonomy
Speciality
Code
Description
License number
State
224ZL0004X
Low Vision Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
15015
CA
Other
Enumeration date
09/26/2021
Last updated
09/27/2021
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