Individual
JASMINE TAGORDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1640 NEWPORT BLVD STE 260, COSTA MESA, CA 92627-7736
(949) 335-7967
Mailing address
24391 AVENIDA DE LA CARLOTA APT 370, LAGUNA HILLS, CA 92653-7655
(626) 483-7855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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