Individual
JESSECA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
500 E VALLEY PKWY, ESCONDIDO, CA 92025-3054
(442) 259-0207
Mailing address
1690 CAROL LEE LN, ESCONDIDO, CA 92026-1665
(858) 357-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22672
CA
Other
Enumeration date
08/11/2021
Last updated
02/27/2023
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