Individual
MRS. JENNIFER JO WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1419 STANFORD ST, APT. D, SANTA MONICA, CA 90404-3145
(469) 585-6702
Mailing address
1419 STANFORD ST, APT. D, SANTA MONICA, CA 90404-3145
(469) 585-6702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
814
CA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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