Individual
JESSICA HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2889 SAN PASQUAL ST, PASADENA, CA 91107-5364
(626) 792-2712
Mailing address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16125
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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