Individual
MS. JILL MILES ZONDERVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1850 COMSTOCK LN, SAN JOSE, CA 95124-1706
(408) 371-8129
Mailing address
1850 COMSTOCK LN, SAN JOSE, CA 95124-1706
(408) 371-8129
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT3868
CA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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