Individual
JASMINE MARIE FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
2061 WRIGHT AVE STE A7, LA VERNE, CA 91750-5813
(909) 519-8912
Mailing address
10850 CHURCH ST APT X301, RANCHO CUCAMONGA, CA 91730-8021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19984
CA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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