Individual
MS. JESSICA ERIN MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 530-7971
(818) 501-8325
Mailing address
17609 VENTURA BLVD STE 215, ENCINO, CA 91316-5126
(818) 530-7971
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10889
CA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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