Individual
JANICE MASCARINAS TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13931 GERSHON PL, SANTA ANA, CA 92705-2686
(916) 425-4871
Mailing address
13931 GERSHON PL, SANTA ANA, CA 92705-2686
(916) 425-4871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23358
CA
Other
Enumeration date
03/22/2022
Last updated
05/13/2024
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