Individual
JEAN LUCILLE NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16010 ROBINWOOD LN, LOS GATOS, CA 95033-9792
(408) 209-1127
Mailing address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(408) 209-1127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA628982
CA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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