Individual
MRS. JENNIFER MICHELLE KORNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OT
Contact information
Practice address
6991 BALBOA AVE, SAN DIEGO, CA 92111-3447
(858) 496-8232
Mailing address
6991 BALBOA AVE, SAN DIEGO, CA 92111-3447
(858) 496-8232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11901
CA
Other
Enumeration date
06/16/2009
Last updated
07/20/2012
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