Individual
JESSICA MARIE VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1857 KNOLL DRIVE, VENTURA, CA 93003
(805) 667-8200
(805) 667-8201
Mailing address
1857 KNOLL DRIVE, VENTURA, CA 93003
(805) 667-8200
(805) 667-8201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116671
TX
225X00000X
Occupational Therapist
Primary
20404
CA
Other
Enumeration date
03/02/2015
Last updated
03/24/2020
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