Individual
JYZELLE FAHSBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 BAHAMAS DR STE 110, BAKERSFIELD, CA 93309-0748
(661) 328-2388
Mailing address
2400 BAHAMAS DR STE 110, BAKERSFIELD, CA 93309-0748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13072
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
12/11/2012
Last updated
09/25/2017
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