Individual
MS. JENNIFER MAUNDONNA RASTEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
657 DONNA MAE CT, EL SOBRANTE, CA 94803-1611
(510) 672-6477
Mailing address
657 DONNA MAE CT, EL SOBRANTE, CA 94803-1611
(151) 067-2647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12664
CA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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