Individual
JESSICA BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
Mailing address
395 ANO NUEVO AVE APT 604, SUNNYVALE, CA 94085-1620
(916) 402-7283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4829
CA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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