Individual
JACQUELINE GRACE HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CAMINO ALTO, MILL VALLEY, CA 94941-2956
(415) 383-1600
Mailing address
10950 ELVESSA ST, OAKLAND, CA 94605-5512
(510) 590-0212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23475
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
12/06/2022
Last updated
12/06/2022
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