Individual
JESSICA EVARISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(805) 358-7397
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT298704
CA
Other
Enumeration date
12/08/2020
Last updated
12/29/2021
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