Individual
KATHLEEN MAE JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9349
CA
Other
Enumeration date
07/31/2007
Last updated
09/10/2024
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