Individual
MS. JILL KERRY BORDOKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
7907 OSTROW ST STE D, SAN DIEGO, CA 92111-3635
(858) 565-6910
Mailing address
7907 OSTROW ST STE D, SAN DIEGO, CA 92111-3635
(858) 565-6910
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10933
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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