Individual
JONATHAN VERSTEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 VIA CALLEJON, SAN CLEMENTE, CA 92673-6213
(949) 498-5100
Mailing address
1120 VIA CALLEJON, SAN CLEMENTE, CA 92673-6213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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