Individual
ELLEN JOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 JACKSON ST APT 113, OAKLAND, CA 94607-4354
(320) 260-7872
Mailing address
45240 140TH ST, DONNELLY, MN 56235-1110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12746
CA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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