Individual
JESSICA LYN PRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15451 VENTURA BLVD, SHERMAN OAKS, CA 91403-3014
(818) 501-5016
(818) 501-5003
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12443
CA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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