Individual
JESSICA ANN KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
8755 AERO DR STE 100, SAN DIEGO, CA 92123-1750
(619) 578-2232
Mailing address
893 NEWMAN AVE, SEEKONK, MA 02771-4407
(508) 904-6015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
29061
CA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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