Individual
JAMIE CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 GATE 5 RD, SAUSALITO, CA 94965-2805
(415) 339-8800
Mailing address
350 GATE 5 RD, SAUSALITO, CA 94965-2805
(415) 339-8800
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4692
CA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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