Individual
JENNY KOLESAR BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
7632 HERSCHEL AVE, LA JOLLA, CA 92037-4403
(619) 888-0956
Mailing address
7632 HERSCHEL AVE, LA JOLLA, CA 92037-4403
(619) 888-0956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7769
CA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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