Individual
JENNIFER BOLAY HONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
Mailing address
4053 LAKE CIRCLE DR, FALLBROOK, CA 92028-7882
(813) 239-7101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19695
CA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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