Individual
JENNIFER BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23361 MADERO STE 200, MISSION VIEJO, CA 92691-7952
(949) 581-8239
Mailing address
100 CARTIER AISLE, IRVINE, CA 92620-5715
(949) 581-8239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8651
CA
Other
Enumeration date
03/27/2007
Last updated
01/24/2012
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