Individual
JESSIE BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1101 E TUOLUMNE RD, TURLOCK, CA 95382-1541
(408) 992-1230
Mailing address
2806 W 23RD ST, GREELEY, CO 80634-7618
(619) 977-5294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
449293
OR
224Z00000X
Occupational Therapy Assistant
OTA-1632
WY
224Z00000X
Occupational Therapy Assistant
OTA.0001424
CO
224Z00000X
Occupational Therapy Assistant
Primary
OTA6012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3S134363512001
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/08/2023
Last updated
10/02/2024
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