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Individual

JENNIFER TERESE JANECZKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
800 BLOSSOM HILL RD, LOS GATOS, CA 95032-3562
(408) 357-1100
Mailing address
16742 VICKY LN, ORLAND HILLS, IL 60487-6035

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5784
CA

Other

Enumeration date
03/29/2024
Last updated
03/29/2024
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