Individual
JENNIFER MARIE ERIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(866) 413-1582
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10843
LIC
CA
Enumeration date
09/21/2015
Last updated
12/15/2021
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