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Individual

EMILY JACOBS MENAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
866 GLENHAVEN AVE, FULLERTON, CA 92832-1252
(312) 420-9131
Mailing address
866 GLENHAVEN AVE, FULLERTON, CA 92832-1252
(312) 420-9131

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9449
CA

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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