Individual
JESSE MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3925 WOOSTER DR, OCEANSIDE, CA 92056-3326
(858) 429-8212
Mailing address
3925 WOOSTER DR, OCEANSIDE, CA 92056-3326
(858) 429-8212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14448
CA
225XP0200X
Pediatric Occupational Therapist
14448
CA
Other
Enumeration date
09/29/2014
Last updated
10/14/2020
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