Individual
JERILYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR SWC
Contact information
Practice address
30 LAS COLINAS LN, SAN JOSE, CA 95119-1212
(408) 284-2812
(408) 284-2875
Mailing address
PO BOX 127, NAPA, CA 94559-0127
(707) 255-3300
(707) 255-3527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1687
CA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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