Individual
JESSICA TASTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13719 DALLAS DR, HUDSON, FL 34667-7133
(858) 350-3294
Mailing address
12400 HIGH BLUFF DR STE 500, SAN DIEGO, CA 92130-3345
(858) 350-3294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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