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Individual

KELCI JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
880 3RD AVE STE A, CHULA VISTA, CA 91911-1305
(619) 618-2035
Mailing address
3110 DEERFLOWER RD, SAN DIEGO, CA 92115-8223

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21593
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
338647
THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
01
OT21593
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
04/30/2021
Last updated
04/30/2021
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