Individual
JASEN PACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
111 FASHION LN UNIT 210, TUSTIN, CA 92780-3306
(949) 590-9350
Mailing address
16922 NEW PINE DR, HACIENDA HEIGHTS, CA 91745-5741
(714) 883-2061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24478
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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